Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $71.77 / $123.13	Facility		$43.62	$71.77	$123.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $12.55 / $36.93	Professional		$11.14	$12.55	$36.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $29.03	Facility		$29.03	$29.03	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.98 / $14.97	Professional		$7.08	$11.98	$14.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Facility		$8.65	$8.65	$8.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $42.00	Professional		$10.50	$10.50	$42.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $23.63 / $93.75	Professional		$9.44	$23.63	$93.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Facility		$8.65	$8.65	$8.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $10.50 / $12.34	Professional		$9.53	$10.50	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $21.00 / $31.68	Professional		$6.00	$21.00	$31.68