Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $74.67 / $132.01	Facility		$16.92	$74.67	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.04 / $40.20	Professional		$13.34	$15.04	$40.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Facility		$31.58	$31.58	$31.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.22 / $16.52	Professional		$8.35	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $10.37	Facility		$10.37	$10.37	$10.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $45.72	Professional		$11.43	$11.43	$45.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $44.01 / $73.70	Facility		$40.00	$44.01	$73.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $25.72 / $143.75	Professional		$10.29	$25.72	$143.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $40.00	Facility		$10.37	$10.37	$40.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $14.77	Professional		$11.43	$11.43	$14.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $22.86 / $34.49	Professional		$7.19	$22.86	$34.49