Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $67.22 / $114.21	Facility		$14.42	$67.22	$114.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $62.63	Professional		$32.63	$32.63	$62.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $26.90	Facility		$26.90	$26.90	$26.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $11.15 / $13.94	Professional		$6.35	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $38.96	Professional		$9.74	$9.74	$38.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $37.50 / $55.51	Facility		$34.09	$37.50	$55.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $21.92 / $21.92	Professional		$8.77	$21.92	$21.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $34.09	Facility		$10.54	$10.54	$34.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.12 / $12.44	Professional		$8.77	$11.12	$12.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $19.48 / $29.39	Professional		$5.41	$19.48	$29.39