Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $71.70 / $121.84	Facility		$15.38	$71.70	$121.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $66.81	Professional		$34.81	$34.81	$66.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Facility		$28.69	$28.69	$28.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $11.98 / $14.97	Professional		$5.81	$11.98	$14.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $41.56	Professional		$10.39	$10.39	$41.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $40.00 / $51.52	Facility		$36.36	$40.00	$51.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $23.38 / $23.38	Professional		$9.35	$23.38	$23.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $36.36	Facility		$7.56	$7.56	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $10.33 / $11.54	Professional		$9.35	$10.33	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $20.78 / $31.35	Professional		$5.01	$20.78	$31.35