Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $62.11 / $105.53	Facility		$13.32	$62.11	$105.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $57.87	Professional		$30.15	$30.15	$57.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.33 / $12.91	Professional		$5.08	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Facility		$6.55	$6.55	$6.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $36.00	Professional		$9.00	$9.00	$36.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $34.65 / $44.46	Facility		$31.50	$34.65	$44.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $20.25 / $20.25	Professional		$8.10	$20.25	$20.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $31.50	Facility		$6.55	$6.55	$31.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.91 / $9.96	Professional		$8.10	$8.91	$9.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $18.00 / $27.15	Professional		$4.33	$18.00	$27.15