Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $58.24 / $98.95	Facility		$12.49	$58.24	$98.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $28.27 / $32.36	Professional		$7.76	$28.27	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $23.33 / $23.33	Facility		$23.33	$23.33	$23.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.50 / $11.87	Professional		$6.17	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $7.36 / $7.36	Facility		$7.36	$7.36	$7.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $33.76	Professional		$8.44	$8.44	$33.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $32.49 / $54.42	Facility		$29.54	$32.49	$54.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $18.98 / $18.98	Professional		$7.60	$18.98	$18.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $7.36 / $29.54	Facility		$7.36	$7.36	$29.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $10.91	Professional		$8.44	$8.44	$10.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $16.88 / $25.47	Professional		$5.31	$16.88	$25.47