Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $98.42 / $122.82	Facility		$9.81	$98.42	$122.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.72 / $22.21	Professional		$7.74	$8.72	$22.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Facility		$18.32	$18.32	$18.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.43 / $9.28	Professional		$4.90	$7.43	$9.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Facility		$5.78	$5.78	$5.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $26.52	Professional		$6.63	$6.63	$26.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $25.53 / $42.75	Facility		$23.21	$25.53	$42.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $14.92 / $76.25	Professional		$5.97	$14.92	$76.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $23.21	Facility		$5.78	$5.78	$23.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $8.57 / $9.58	Professional		$6.62	$8.57	$9.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $13.26 / $20.00	Professional		$4.17	$13.26	$20.00