Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $61.08 / $103.78	Facility		$13.10	$61.08	$103.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $29.65 / $56.91	Professional		$29.65	$29.65	$56.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $24.44	Facility		$24.44	$24.44	$24.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.91 / $12.39	Professional		$6.53	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $9.57 / $9.57	Facility		$9.57	$9.57	$9.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $35.40	Professional		$8.85	$8.85	$35.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $34.07 / $57.07	Facility		$30.97	$34.07	$57.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $19.91 / $19.91	Professional		$7.97	$19.91	$19.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $9.57 / $30.97	Facility		$9.57	$9.57	$30.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $11.44 / $12.78	Professional		$8.85	$11.44	$12.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $17.70 / $21.86	Professional		$5.56	$17.70	$21.86