Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $77.42 / $108.78	Facility		$25.28	$77.42	$108.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $7.95 / $20.23	Professional		$7.05	$7.95	$20.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Facility		$16.70	$16.70	$16.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.02 / $8.77	Professional		$4.36	$7.02	$8.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Facility		$5.46	$5.46	$5.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $24.16	Professional		$6.04	$6.04	$24.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $23.25 / $38.92	Facility		$21.14	$23.25	$38.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $13.59 / $72.50	Professional		$5.44	$13.59	$72.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $21.14	Facility		$5.46	$5.46	$21.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $7.80	Professional		$6.04	$6.04	$7.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $12.08 / $14.90	Professional		$3.80	$12.08	$14.90