Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $128.82 / $331.13	Facility		$23.44	$128.82	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $26.92	Professional		$6.03	$7.08	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.55 / $11.75	Professional		$6.03	$9.55	$11.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.13 / $234.42	Facility		$7.08	$8.13	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $32.36	Professional		$8.13	$9.55	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $52.48	Facility		$28.18	$30.90	$52.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $39.81	Professional		$14.79	$18.20	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $10.47	Professional		$6.03	$8.13	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $16.22 / $24.55	Professional		$5.13	$16.22	$24.55