Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $91.20 / $173.78	Facility		$22.39	$91.20	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $21.88	Professional		$5.01	$6.03	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.76 / $9.77	Professional		$4.90	$7.76	$9.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.61 / $91.20	Facility		$6.03	$6.61	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $26.92	Professional		$6.61	$6.61	$26.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $25.70 / $42.66	Facility		$23.44	$25.70	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $15.14	Professional		$12.30	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.61 / $8.71	Professional		$4.90	$6.61	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $13.49 / $19.95	Professional		$4.17	$13.49	$19.95