Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $239.88	Facility		$64.57	$169.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $28.18	Professional		$7.08	$8.51	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.72 / $13.49	Professional		$6.92	$10.72	$13.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $194.98	Facility		$8.13	$9.33	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $38.02	Professional		$9.33	$9.33	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $36.31 / $60.26	Facility		$33.11	$36.31	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $46.77	Professional		$17.38	$21.38	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $12.30	Professional		$6.92	$9.33	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $19.05 / $28.18	Professional		$5.89	$19.05	$28.18