Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $118.30 / $200.07	Facility		$53.55	$118.30	$200.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.62 / $57.99	Professional		$4.99	$5.62	$57.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $50.24 / $50.24	Facility		$50.24	$50.24	$50.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $18.75 / $23.44	Professional		$7.97	$18.75	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $12.98 / $19.10	Facility		$9.00	$12.98	$19.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $72.76	Professional		$18.19	$18.19	$72.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $53.03 / $72.76	Facility		$23.28	$53.03	$72.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $39.96 / $39.96	Professional		$15.98	$39.96	$39.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $13.21 / $31.04	Facility		$9.00	$13.21	$31.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $8.78 / $21.98	Professional		$5.52	$8.78	$21.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $30.24 / $45.62	Professional		$2.68	$30.24	$45.62