Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $110.51 / $245.00	Facility		$52.21	$110.51	$245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $27.07 / $27.07	Professional		$7.42	$27.07	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Facility		$22.31	$22.31	$22.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.50 / $11.87	Professional		$5.99	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $7.03 / $7.03	Facility		$7.03	$7.03	$7.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $32.32	Professional		$8.08	$8.08	$32.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $31.11 / $52.14	Facility		$28.28	$31.11	$52.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $18.18 / $18.18	Professional		$7.27	$18.18	$18.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $7.03 / $28.28	Facility		$7.03	$7.03	$28.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.08 / $11.68	Professional		$8.07	$8.08	$11.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $16.16 / $24.38	Professional		$5.08	$16.16	$24.38