Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $73.42 / $124.74	Facility		$15.75	$73.42	$124.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $35.64 / $40.79	Professional		$9.77	$35.64	$40.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $29.41 / $29.41	Facility		$29.41	$29.41	$29.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $12.39 / $15.49	Professional		$7.81	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $42.56	Professional		$10.64	$10.64	$42.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $40.96 / $68.59	Facility		$37.24	$40.96	$68.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $23.94 / $23.94	Professional		$9.58	$23.94	$23.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $37.24	Facility		$9.27	$9.27	$37.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $13.75 / $15.37	Professional		$10.64	$13.75	$15.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $21.28 / $32.10	Professional		$6.69	$21.28	$32.10