Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $114.93 / $330.30	Facility		$36.61	$114.93	$330.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $11.06 / $28.17	Professional		$9.82	$11.06	$28.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $23.25 / $23.25	Facility		$23.25	$23.25	$23.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.50 / $11.87	Professional		$6.17	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Facility		$7.62	$7.62	$7.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $33.64	Professional		$8.41	$8.41	$33.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $32.38 / $54.18	Facility		$29.44	$32.38	$54.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $18.92 / $87.50	Professional		$7.57	$18.92	$87.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.62 / $29.44	Facility		$7.62	$7.62	$29.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $10.86	Professional		$8.41	$8.41	$10.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $16.82 / $25.37	Professional		$5.28	$16.82	$25.37