Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $99.35 / $196.00	Facility		$21.51	$99.35	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.67 / $18.21	Professional		$6.04	$11.67	$18.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Facility		$14.32	$14.32	$14.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.78 / $7.23	Professional		$3.81	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $20.72	Professional		$5.18	$5.18	$20.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $11.66 / $11.66	Professional		$4.66	$11.66	$11.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.69 / $7.48	Professional		$5.18	$6.69	$7.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $10.36 / $15.63	Professional		$3.25	$10.36	$15.63