Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $95.28 / $165.01	Facility		$36.97	$95.28	$165.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $29.82 / $37.27	Professional		$8.17	$29.82	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $24.61 / $24.61	Facility		$24.61	$24.61	$24.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.33 / $12.91	Professional		$6.53	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.06 / $8.06	Facility		$8.06	$8.06	$8.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $8.90 / $35.60	Professional		$8.90	$8.90	$35.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $34.27 / $57.40	Facility		$31.15	$34.27	$57.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $20.03 / $118.00	Professional		$8.01	$20.03	$118.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.06 / $31.15	Facility		$8.06	$8.06	$31.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.50 / $12.85	Professional		$8.90	$11.50	$12.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $17.80 / $26.85	Professional		$5.59	$17.80	$26.85