Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $27.11 / $95.83	Facility		$25.85	$27.11	$95.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.79 / $32.22	Professional		$4.19	$7.79	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $5.14	Professional		$4.19	$4.19	$5.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $7.79 / $125.40	Facility		$4.44	$7.79	$125.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $10.48	Professional		$4.19	$4.19	$10.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $159.60 / $250.80	Facility		$12.77	$159.60	$250.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $136.80 / $136.80	Professional		$114.00	$136.80	$136.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $10.91 / $162.96	Facility		$7.79	$10.91	$162.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $17.26 / $114.00	Professional		$4.19	$17.26	$114.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.29 / $12.57	Professional		$4.44	$6.29	$12.57