Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $103.92 / $124.92	Facility		$44.90	$103.92	$124.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $36.21 / $45.26	Professional		$9.94	$36.21	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Facility		$29.88	$29.88	$29.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $12.39 / $15.49	Professional		$7.99	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Facility		$9.80	$9.80	$9.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $43.24	Professional		$10.81	$10.81	$43.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $41.62 / $69.73	Facility		$37.84	$41.62	$69.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $24.32 / $24.32	Professional		$9.73	$24.32	$24.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $37.84	Facility		$9.80	$9.80	$37.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $13.97	Professional		$10.81	$10.81	$13.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $21.62 / $32.61	Professional		$6.80	$21.62	$32.61