Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $77.44 / $121.00	Facility		$42.87	$77.44	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $34.57 / $34.57	Professional		$9.50	$34.57	$34.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $11.98 / $14.97	Professional		$7.62	$11.98	$14.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Facility		$9.36	$9.36	$9.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $41.28	Professional		$10.32	$10.32	$41.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $39.72 / $66.59	Facility		$36.11	$39.72	$66.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $23.22 / $23.22	Professional		$9.28	$23.22	$23.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $36.11	Facility		$9.36	$9.36	$36.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $12.64	Professional		$10.32	$10.32	$12.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $20.64 / $31.14	Professional		$6.49	$20.64	$31.14