Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $66.52 / $113.02	Facility		$14.27	$66.52	$113.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $32.29 / $36.96	Professional		$4.48	$32.29	$36.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $26.65	Facility		$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.15 / $13.94	Professional		$6.17	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Facility		$10.44	$10.44	$10.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $38.56	Professional		$9.64	$9.64	$38.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $21.69 / $21.69	Professional		$8.68	$21.69	$21.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Facility		$10.44	$10.44	$10.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $9.64 / $10.95	Professional		$8.68	$9.64	$10.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $19.28 / $29.09	Professional		$5.33	$19.28	$29.09