Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $128.38 / $247.50	Facility		$20.55	$128.38	$247.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $15.81 / $18.10	Professional		$4.34	$15.81	$18.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Facility		$13.05	$13.05	$13.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.78 / $7.23	Professional		$3.45	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $18.88	Professional		$4.72	$4.72	$18.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $18.17 / $30.48	Facility		$16.52	$18.17	$30.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $10.62 / $10.62	Professional		$4.25	$10.62	$10.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $16.52	Facility		$4.29	$4.29	$16.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.73 / $6.11	Professional		$4.72	$4.73	$6.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $9.44 / $14.24	Professional		$2.97	$9.44	$14.24