Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $64.52 / $109.62	Facility		$13.84	$64.52	$109.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $31.32 / $60.12	Professional		$31.32	$31.32	$60.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $25.84 / $25.84	Facility		$25.84	$25.84	$25.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.74 / $13.42	Professional		$5.08	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.81 / $6.81	Facility		$6.81	$6.81	$6.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $37.40	Professional		$9.35	$9.35	$37.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $36.00 / $44.32	Facility		$32.72	$36.00	$44.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $21.04 / $21.04	Professional		$8.42	$21.04	$21.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.81 / $25.84	Facility		$6.81	$6.81	$25.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.88 / $9.92	Professional		$8.42	$8.88	$9.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $18.70 / $28.21	Professional		$4.32	$18.70	$28.21