Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $83.57 / $142.00	Facility		$17.92	$83.57	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.93 / $40.57	Professional		$9.44	$9.93	$40.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $12.81 / $31.82	Professional		$7.64	$12.81	$31.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $40.57 / $58.02	Facility		$9.81	$40.57	$58.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $38.99	Professional		$12.11	$12.11	$38.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $46.62 / $78.12	Facility		$42.39	$46.62	$78.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $27.25 / $27.25	Professional		$27.25	$27.25	$27.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $40.57 / $65.95	Facility		$12.11	$40.57	$65.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.14 / $19.30	Professional		$12.11	$15.14	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $24.22 / $36.54	Professional		$12.11	$24.22	$36.54