Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $67.69 / $113.37	Facility		$14.52	$67.69	$113.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $32.86 / $37.61	Professional		$7.03	$32.86	$37.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $27.12 / $27.12	Facility		$27.12	$27.12	$27.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $11.15 / $13.94	Professional		$5.63	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Facility		$7.15	$7.15	$7.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $9.81 / $39.24	Professional		$9.81	$9.81	$39.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $37.77 / $49.53	Facility		$34.34	$37.77	$49.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $22.07 / $22.07	Professional		$8.83	$22.07	$22.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $34.34	Facility		$7.15	$7.15	$34.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $9.93 / $11.10	Professional		$8.83	$9.93	$11.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $19.62 / $29.60	Professional		$4.83	$19.62	$29.60