Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $73.31 / $175.42	Facility		$40.59	$73.31	$175.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $32.72 / $62.82	Professional		$32.72	$32.72	$62.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $26.99	Facility		$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $11.15 / $13.94	Professional		$6.35	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $39.08	Professional		$9.77	$9.77	$39.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $37.61 / $56.31	Facility		$34.20	$37.61	$56.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $21.98 / $21.98	Professional		$8.78	$21.98	$21.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $34.20	Facility		$5.18	$5.18	$34.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $11.29 / $12.61	Professional		$8.78	$11.29	$12.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $19.54 / $29.48	Professional		$5.49	$19.54	$29.48