Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $67.98 / $115.50	Facility		$14.58	$67.98	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $33.00 / $37.76	Professional		$9.05	$33.00	$37.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $27.20	Facility		$27.20	$27.20	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.15 / $13.94	Professional		$7.26	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Facility		$8.93	$8.93	$8.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $39.40	Professional		$9.85	$9.85	$39.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $37.92 / $63.47	Facility		$34.47	$37.92	$63.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $22.16 / $22.16	Professional		$8.86	$22.16	$22.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $34.47	Facility		$8.93	$8.93	$34.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.72 / $14.23	Professional		$9.85	$12.72	$14.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $19.70 / $29.72	Professional		$6.19	$19.70	$29.72