Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $72.26 / $243.36	Facility		$27.29	$72.26	$243.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $32.26 / $36.92	Professional		$8.85	$32.26	$36.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $26.61 / $26.61	Facility		$26.61	$26.61	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.15 / $13.94	Professional		$7.08	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $8.73 / $8.73	Facility		$8.73	$8.73	$8.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $38.52	Professional		$9.63	$9.63	$38.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $37.08 / $62.09	Facility		$33.71	$37.08	$62.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $21.67 / $21.67	Professional		$8.67	$21.67	$21.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $8.73 / $33.71	Facility		$8.73	$8.73	$33.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $12.45	Professional		$9.63	$9.63	$12.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $19.26 / $29.06	Professional		$6.05	$19.26	$29.06