Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $61.64 / $104.72	Facility		$13.22	$61.64	$104.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $29.92 / $34.24	Professional		$8.23	$29.92	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $24.65	Facility		$24.65	$24.65	$24.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.33 / $12.91	Professional		$6.53	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $8.09 / $8.09	Facility		$8.09	$8.09	$8.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $35.72	Professional		$8.93	$8.93	$35.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $34.38 / $57.64	Facility		$31.26	$34.38	$57.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $20.09 / $20.09	Professional		$8.03	$20.09	$20.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $8.09 / $31.26	Facility		$8.09	$8.09	$31.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $11.55	Professional		$8.93	$8.93	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $17.86 / $26.94	Professional		$5.62	$17.86	$26.94