Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $51.70 / $132.72	Facility		$28.62	$51.70	$132.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $23.08 / $26.42	Professional		$6.33	$23.08	$26.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $19.04	Facility		$19.04	$19.04	$19.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.85 / $9.81	Professional		$5.08	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Facility		$6.24	$6.24	$6.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $27.56	Professional		$6.89	$6.89	$27.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $26.53 / $44.46	Facility		$24.12	$26.53	$44.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.50 / $15.50	Professional		$6.20	$15.50	$15.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $6.24 / $24.12	Facility		$6.24	$6.24	$24.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $8.28	Professional		$6.89	$6.89	$8.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $13.78 / $20.79	Professional		$4.33	$13.78	$20.79