Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $59.35 / $100.84	Facility		$12.73	$59.35	$100.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $28.81 / $55.30	Professional		$28.81	$28.81	$55.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $23.76 / $23.76	Facility		$23.76	$23.76	$23.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.91 / $12.39	Professional		$6.35	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Facility		$9.30	$9.30	$9.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $34.40	Professional		$8.60	$8.60	$34.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $33.11 / $55.51	Facility		$30.10	$33.11	$55.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $19.35 / $19.35	Professional		$7.74	$19.35	$19.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $30.10	Facility		$9.30	$9.30	$30.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.12 / $12.43	Professional		$8.60	$11.12	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $17.20 / $25.95	Professional		$5.41	$17.20	$25.95