Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $73.36 / $124.64	Facility		$15.73	$73.36	$124.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $35.61 / $68.34	Professional		$35.61	$35.61	$68.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $29.37 / $29.37	Facility		$29.37	$29.37	$29.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $12.39 / $15.49	Professional		$7.62	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $42.52	Professional		$10.63	$10.63	$42.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $40.93 / $67.12	Facility		$37.21	$40.93	$67.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $23.92 / $23.92	Professional		$9.57	$23.92	$23.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $37.21	Facility		$9.44	$9.44	$37.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.63 / $15.02	Professional		$10.40	$10.63	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $21.26 / $32.07	Professional		$6.54	$21.26	$32.07