Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $68.25 / $132.30	Facility		$41.08	$68.25	$132.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $33.13 / $37.92	Professional		$9.06	$33.13	$37.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $27.33 / $27.33	Facility		$27.33	$27.33	$27.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.56 / $14.46	Professional		$7.26	$11.56	$14.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $8.97 / $8.97	Facility		$8.97	$8.97	$8.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $39.56	Professional		$9.89	$9.89	$39.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $38.08 / $63.75	Facility		$34.61	$38.08	$63.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $22.25 / $22.25	Professional		$8.90	$22.25	$22.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $8.97 / $34.61	Facility		$8.97	$8.97	$34.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.78 / $14.28	Professional		$9.88	$12.78	$14.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $19.78 / $29.84	Professional		$6.21	$19.78	$29.84