Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $88.59 / $129.11	Facility		$28.83	$88.59	$129.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $16.30 / $55.36	Professional		$3.09	$16.30	$55.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Facility		$23.80	$23.80	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $9.91 / $12.39	Professional		$4.72	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $6.27	Facility		$6.27	$6.27	$6.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $34.44	Professional		$8.61	$8.61	$34.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $33.15 / $40.81	Facility		$30.13	$33.15	$40.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $19.37 / $75.00	Professional		$7.75	$19.37	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $23.80	Facility		$6.27	$6.27	$23.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $8.18 / $9.14	Professional		$7.75	$8.18	$9.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $17.22 / $25.98	Professional		$3.98	$17.22	$25.98