Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $88.20 / $177.30	Facility		$25.43	$88.20	$177.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.77 / $47.80	Professional		$16.67	$18.77	$47.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $39.44 / $39.44	Facility		$39.44	$39.44	$39.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Facility		$12.44	$12.44	$12.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $57.08	Professional		$14.27	$14.27	$57.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $32.11 / $182.81	Professional		$12.84	$32.11	$182.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Facility		$12.44	$12.44	$12.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $20.62	Professional		$14.27	$14.27	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $28.54 / $43.06	Professional		$8.97	$28.54	$43.06