Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $75.91 / $128.97	Facility		$16.28	$75.91	$128.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $70.73	Professional		$36.85	$36.85	$70.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $30.39 / $30.39	Facility		$30.39	$30.39	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.80 / $16.00	Professional		$6.17	$12.80	$16.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $35.42	Professional		$11.00	$11.00	$35.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $42.35 / $54.56	Facility		$38.50	$42.35	$54.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $24.75 / $24.75	Professional		$9.90	$24.75	$24.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $38.50	Facility		$5.50	$5.50	$38.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $10.93 / $11.00	Professional		$9.90	$10.93	$11.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $22.00 / $33.19	Professional		$5.32	$22.00	$33.19