Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $65.90 / $111.97	Facility		$14.13	$65.90	$111.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $31.99 / $61.41	Professional		$31.99	$31.99	$61.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $26.39 / $26.39	Facility		$26.39	$26.39	$26.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $11.15 / $13.94	Professional		$5.26	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $6.96 / $6.96	Facility		$6.96	$6.96	$6.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $38.20	Professional		$9.55	$9.55	$38.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $36.77 / $45.79	Facility		$33.43	$36.77	$45.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $21.49 / $21.49	Professional		$8.60	$21.49	$21.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $6.96 / $33.43	Facility		$6.96	$6.96	$33.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $9.18 / $10.25	Professional		$8.60	$9.18	$10.25
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $19.10 / $28.81	Professional		$4.46	$19.10	$28.81