Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $144.54	Facility		$41.69	$112.20	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $32.36	Professional		$7.08	$8.91	$32.36
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 $6.92 / $11.22 / $13.80	Professional		$6.92	$11.22	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $32.36	Facility		$5.13	$5.13	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $38.90	Professional		$9.55	$9.55	$38.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $60.26	Facility		$33.88	$37.15	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
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 / $19.50 / $28.84	Professional		$5.89	$19.50	$28.84