Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $81.28 / $128.82	Facility		$26.92	$81.28	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $34.67	Professional		$7.94	$10.00	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $15.14	Professional		$7.08	$12.02	$15.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $46.77	Facility		$8.71	$8.71	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $41.69	Professional		$10.47	$10.47	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $61.66	Facility		$37.15	$40.74	$61.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $46.77	Professional		$17.78	$23.44	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $12.30	Professional		$7.08	$9.55	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $20.89 / $31.62	Professional		$6.03	$20.89	$31.62