Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $194.98 / $575.44	Facility		$40.74	$194.98	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.91 / $29.51	Professional		$3.47	$8.91	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $13.80	Professional		$9.12	$11.22	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.00 / $288.40	Facility		$9.77	$10.00	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $38.90	Professional		$9.77	$9.77	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $36.31 / $38.90	Facility		$20.89	$36.31	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.88 / $38.90	Professional		$9.77	$21.88	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.71 / $9.77	Professional		$4.90	$8.71	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.50 / $29.51	Professional		$7.94	$19.50	$29.51