Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $66.66 / $113.26	Facility		$14.30	$66.66	$113.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $32.36 / $37.04	Professional		$8.90	$32.36	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $26.69 / $26.69	Facility		$26.69	$26.69	$26.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.15 / $13.94	Professional		$7.08	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $8.43	Facility		$8.43	$8.43	$8.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $38.64	Professional		$9.66	$9.66	$38.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $37.19 / $62.33	Facility		$33.81	$37.19	$62.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $21.74 / $21.74	Professional		$8.69	$21.74	$21.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.43 / $33.81	Facility		$8.43	$8.43	$33.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $12.49	Professional		$9.66	$9.66	$12.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $19.32 / $29.15	Professional		$6.08	$19.32	$29.15