Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $75.70 / $116.61	Facility		$41.91	$75.70	$116.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $33.79 / $38.69	Professional		$10.13	$33.79	$38.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Facility		$27.88	$27.88	$27.88
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 $7.35 / $7.35 / $7.35	Facility		$7.35	$7.35	$7.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $40.36	Professional		$10.09	$10.09	$40.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $38.85 / $49.68	Facility		$35.32	$38.85	$49.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $22.70 / $22.70	Professional		$9.08	$22.70	$22.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $35.32	Facility		$7.35	$7.35	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.96 / $11.13	Professional		$9.08	$9.96	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $20.18 / $30.44	Professional		$4.84	$20.18	$30.44