Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $79.38 / $127.89	Facility		$23.36	$79.38	$127.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.03 / $23.01	Professional		$8.02	$9.03	$23.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.85 / $9.81	Professional		$5.08	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Facility		$5.99	$5.99	$5.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $27.48	Professional		$6.87	$6.87	$27.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $26.45 / $44.32	Facility		$24.05	$26.45	$44.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $15.46 / $68.75	Professional		$6.18	$15.46	$68.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $24.05	Facility		$5.99	$5.99	$24.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $8.88	Professional		$6.87	$6.87	$8.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $13.74 / $20.73	Professional		$4.32	$13.74	$20.73