Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $65.14 / $110.67	Facility		$13.97	$65.14	$110.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $31.62 / $36.19	Professional		$8.68	$31.62	$36.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.74 / $13.42	Professional		$6.90	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $8.22	Facility		$8.22	$8.22	$8.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $37.76	Professional		$9.44	$9.44	$37.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $36.34 / $60.91	Facility		$33.04	$36.34	$60.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $21.24 / $21.24	Professional		$8.50	$21.24	$21.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $33.04	Facility		$8.22	$8.22	$33.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.21 / $13.63	Professional		$9.44	$12.21	$13.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $18.88 / $28.48	Professional		$5.93	$18.88	$28.48