Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $104.86 / $292.89	Facility		$23.26	$104.86	$292.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $18.76 / $18.76	Professional		$5.07	$18.76	$18.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $15.47 / $15.47	Facility		$15.47	$15.47	$15.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.20 / $7.74	Professional		$3.99	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Facility		$4.99	$4.99	$4.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $22.40	Professional		$5.60	$5.60	$22.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $21.56 / $35.50	Facility		$19.60	$21.56	$35.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $12.60 / $88.75	Professional		$5.04	$12.60	$88.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $19.60	Facility		$4.99	$4.99	$19.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.60 / $7.12	Professional		$5.51	$5.60	$7.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.20 / $16.89	Professional		$3.47	$11.20	$16.89