Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $73.59 / $212.00	Facility		$29.31	$73.59	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $14.13 / $35.97	Professional		$12.55	$14.13	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $29.67 / $29.67	Facility		$29.67	$29.67	$29.67
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 $9.73 / $9.73 / $9.73	Facility		$9.73	$9.73	$9.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $42.96	Professional		$10.74	$10.74	$42.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $41.35 / $69.30	Facility		$37.59	$41.35	$69.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $24.17 / $137.19	Professional		$9.67	$24.17	$137.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $9.73 / $37.59	Facility		$9.73	$9.73	$37.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.89 / $15.51	Professional		$10.74	$13.89	$15.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $21.48 / $32.40	Professional		$6.75	$21.48	$32.40