Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $178.36 / $519.29	Facility		$35.81	$178.36	$519.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.33 / $28.88	Professional		$10.06	$11.33	$28.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Facility		$23.80	$23.80	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.91 / $12.39	Professional		$6.35	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $41.30	Facility		$7.51	$7.51	$41.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $34.47	Professional		$8.61	$8.61	$34.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $33.19 / $55.55	Facility		$30.17	$33.19	$55.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $19.39 / $108.75	Professional		$7.76	$19.39	$108.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $30.17	Facility		$7.51	$7.51	$30.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $11.13	Professional		$8.61	$8.61	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $17.23 / $26.01	Professional		$5.41	$17.23	$26.01