Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $65.34 / $111.02	Facility		$14.02	$65.34	$111.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $60.89	Professional		$31.72	$31.72	$60.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $26.18 / $26.18	Facility		$26.18	$26.18	$26.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.74 / $13.42	Professional		$6.17	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $37.88	Professional		$9.47	$9.47	$37.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $36.46 / $54.56	Facility		$33.15	$36.46	$54.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $21.31 / $21.31	Professional		$8.52	$21.31	$21.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $33.15	Facility		$7.68	$7.68	$33.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.47 / $10.93	Professional		$8.52	$9.47	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $18.94 / $28.57	Professional		$5.32	$18.94	$28.57