Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $138.04	Facility		$53.70	$70.79	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $33.11	Professional		$7.94	$8.91	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.48 / $14.45	Professional		$7.24	$11.48	$14.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $44.67	Facility		$8.91	$8.91	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $39.81	Professional		$10.00	$10.00	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $63.10	Facility		$34.67	$38.02	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $22.39	Professional		$18.20	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $12.88	Professional		$7.24	$9.77	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $19.95 / $29.51	Professional		$6.17	$19.95	$29.51