Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $64.59 / $109.76	Facility		$13.85	$64.59	$109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $31.36 / $35.89	Professional		$6.09	$31.36	$35.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $25.84 / $25.84	Facility		$25.84	$25.84	$25.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.74 / $13.42	Professional		$4.90	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.81 / $6.81	Facility		$6.81	$6.81	$6.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $37.44	Professional		$9.36	$9.36	$37.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $36.04 / $42.80	Facility		$32.76	$36.04	$42.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $21.06 / $21.06	Professional		$8.42	$21.06	$21.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $6.81 / $32.76	Facility		$6.81	$6.81	$32.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.58 / $9.36	Professional		$8.42	$8.58	$9.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $18.72 / $28.24	Professional		$4.17	$18.72	$28.24