Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $52.17 / $203.47	Facility		$38.00	$52.17	$203.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $40.13 / $40.13	Professional		$10.84	$40.13	$40.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $11.98 / $47.92	Professional		$11.98	$11.98	$47.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $26.96 / $91.88	Professional		$10.78	$26.96	$91.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $11.99 / $17.32	Professional		$11.98	$11.99	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $23.96 / $36.15	Professional		$7.54	$23.96	$36.15