Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $78.00 / $121.07	Facility		$20.00	$78.00	$121.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $29.78 / $29.78	Professional		$8.17	$29.78	$29.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $24.57 / $24.57	Facility		$24.57	$24.57	$24.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.91 / $12.39	Professional		$6.53	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Facility		$8.05	$8.05	$8.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $35.56	Professional		$8.89	$8.89	$35.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $20.00 / $122.50	Professional		$8.00	$20.00	$122.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Facility		$8.05	$8.05	$8.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.89 / $11.49	Professional		$8.88	$8.89	$11.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $17.78 / $21.94	Professional		$5.58	$17.78	$21.94