Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $229.09	Facility		$40.74	$81.28	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.01 / $17.38	Professional		$3.89	$5.01	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.61 / $8.32	Professional		$3.09	$6.61	$8.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $120.23	Facility		$4.27	$4.27	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.88 / $23.44	Professional		$5.01	$12.88	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $27.54	Facility		$20.42	$22.39	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $13.18	Professional		$8.71	$13.18	$13.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.25 / $5.75	Professional		$3.09	$5.25	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $11.75 / $17.38	Professional		$2.69	$11.75	$17.38