Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $77.70 / $132.02	Facility		$16.66	$77.70	$132.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $37.72 / $43.17	Professional		$10.35	$37.72	$43.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.22 / $16.52	Professional		$8.17	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $45.04	Professional		$11.26	$11.26	$45.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $43.35 / $72.62	Facility		$39.40	$43.35	$72.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $25.34 / $25.34	Professional		$10.13	$25.34	$25.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $39.40	Facility		$10.19	$10.19	$39.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $16.27	Professional		$11.26	$11.26	$16.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $22.52 / $27.80	Professional		$7.08	$22.52	$27.80