Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $61.53 / $147.53	Facility		$34.06	$61.53	$147.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $9.63 / $27.47	Professional		$8.56	$9.63	$27.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $22.65	Facility		$22.65	$22.65	$22.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.50 / $11.87	Professional		$5.45	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $6.64 / $6.64	Facility		$6.64	$6.64	$6.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $32.79	Professional		$8.19	$8.19	$32.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $31.57 / $47.31	Facility		$28.70	$31.57	$47.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $18.45 / $18.45	Professional		$7.38	$18.45	$18.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $6.64 / $28.70	Facility		$6.64	$6.64	$28.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $8.19 / $9.48	Professional		$7.38	$8.19	$9.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $16.39 / $24.74	Professional		$4.59	$16.39	$24.74