Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $70.79 / $120.23	Facility		$14.79	$70.79	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $33.11	Professional		$7.94	$8.91	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.48 / $14.45	Professional		$5.62	$11.48	$14.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $10.00	Facility		$7.24	$7.24	$10.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $39.81	Professional		$10.00	$10.00	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $48.98	Facility		$34.67	$38.02	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.39 / $22.39	Professional		$14.79	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.91 / $10.00	Professional		$5.62	$8.91	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $19.95 / $30.20	Professional		$4.79	$19.95	$30.20