Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $68.54 / $116.45	Facility		$14.70	$68.54	$116.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $33.27 / $38.07	Professional		$6.99	$33.27	$38.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $27.41 / $27.41	Facility		$27.41	$27.41	$27.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $11.56 / $14.46	Professional		$5.63	$11.56	$14.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Facility		$7.23	$7.23	$7.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $39.72	Professional		$9.93	$9.93	$39.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $38.22 / $49.06	Facility		$34.75	$38.22	$49.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $22.34 / $22.34	Professional		$8.94	$22.34	$22.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $7.23 / $34.75	Facility		$7.23	$7.23	$34.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $9.83 / $10.99	Professional		$8.94	$9.83	$10.99
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $19.86 / $29.96	Professional		$4.78	$19.86	$29.96