Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $42.33 / $112.33	Facility		$21.87	$42.33	$112.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $32.56 / $37.27	Professional		$9.38	$32.56	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Facility		$26.86	$26.86	$26.86
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 $7.07 / $7.07 / $7.07	Facility		$7.07	$7.07	$7.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $38.88	Professional		$9.72	$9.72	$38.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $37.42 / $46.03	Facility		$34.02	$37.42	$46.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $21.87 / $21.87	Professional		$8.75	$21.87	$21.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $7.07 / $26.86	Facility		$7.07	$7.07	$26.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.22 / $10.30	Professional		$8.75	$9.22	$10.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $19.44 / $19.44	Professional		$4.49	$19.44	$19.44