Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $81.02 / $137.66	Facility		$17.38	$81.02	$137.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $39.33 / $39.33	Professional		$9.77	$39.33	$39.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $32.43 / $32.43	Facility		$32.43	$32.43	$32.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $13.22 / $16.52	Professional		$6.17	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Facility		$8.55	$8.55	$8.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $46.96	Professional		$11.74	$11.74	$46.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $45.20 / $54.08	Facility		$41.09	$45.20	$54.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $26.42 / $26.42	Professional		$10.57	$26.42	$26.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $41.09	Facility		$8.55	$8.55	$41.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.84 / $12.12	Professional		$10.57	$10.84	$12.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $23.48 / $35.42	Professional		$5.27	$23.48	$35.42