Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $56.29 / $188.39	Facility		$29.84	$56.29	$188.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $40.50 / $40.50	Professional		$11.13	$40.50	$40.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Facility		$33.40	$33.40	$33.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $17.04	Professional		$13.63	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $48.36	Professional		$12.09	$12.09	$48.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $46.55 / $48.36	Facility		$44.73	$46.55	$48.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $18.13 / $48.36	Professional		$10.88	$18.13	$48.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $23.58	Facility		$10.50	$10.50	$23.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $12.09 / $33.25	Professional		$11.49	$12.09	$33.25
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $24.18 / $36.47	Professional		$5.44	$24.18	$36.47