Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $85.86 / $154.69	Facility		$40.65	$85.86	$154.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $32.53 / $40.65	Professional		$8.91	$32.53	$40.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $26.82 / $26.82	Facility		$26.82	$26.82	$26.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.15 / $13.94	Professional		$7.08	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Facility		$8.46	$8.46	$8.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $38.84	Professional		$9.71	$9.71	$38.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $37.38 / $62.62	Facility		$33.99	$37.38	$62.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $21.85 / $110.00	Professional		$8.74	$21.85	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $33.99	Facility		$8.46	$8.46	$33.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $14.03	Professional		$9.71	$9.71	$14.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $19.42 / $29.30	Professional		$6.10	$19.42	$29.30