Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $81.70 / $138.81	Facility		$17.52	$81.70	$138.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $39.65 / $45.39	Professional		$10.91	$39.65	$45.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $32.72 / $32.72	Facility		$32.72	$32.72	$32.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $47.36	Professional		$11.84	$11.84	$47.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $45.58 / $76.41	Facility		$41.44	$45.58	$76.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $26.64 / $26.64	Professional		$10.66	$26.64	$26.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $41.44	Facility		$12.81	$12.81	$41.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $17.12	Professional		$11.84	$11.84	$17.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $23.68 / $35.72	Professional		$7.45	$23.68	$35.72