Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $127.97 / $214.32	Facility		$23.48	$127.97	$214.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.07 / $18.05	Professional		$6.26	$7.07	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Facility		$14.88	$14.88	$14.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.20 / $7.74	Professional		$3.99	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $21.56	Professional		$5.39	$5.39	$21.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $20.75 / $34.74	Facility		$18.87	$20.75	$34.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $12.13 / $125.00	Professional		$4.84	$12.13	$125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $18.87	Facility		$4.88	$4.88	$18.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.96	Professional		$5.39	$5.39	$6.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $10.78 / $16.26	Professional		$3.38	$10.78	$16.26