Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $74.06 / $125.83	Facility		$15.88	$74.06	$125.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $35.95 / $41.14	Professional		$9.50	$35.95	$41.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $29.62 / $29.62	Facility		$29.62	$29.62	$29.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $12.39 / $15.49	Professional		$7.62	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Facility		$9.36	$9.36	$9.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $42.92	Professional		$10.73	$10.73	$42.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $41.31 / $66.59	Facility		$37.56	$41.31	$66.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $24.14 / $24.14	Professional		$9.66	$24.14	$24.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $37.56	Facility		$9.36	$9.36	$37.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.73 / $13.35	Professional		$10.32	$10.73	$13.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $21.46 / $32.36	Professional		$6.49	$21.46	$32.36