Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $112.92 / $277.33	Facility		$36.22	$112.92	$277.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.37 / $28.98	Professional		$10.09	$11.37	$28.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $23.89 / $23.89	Facility		$23.89	$23.89	$23.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.91 / $12.39	Professional		$6.35	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.53 / $7.53	Facility		$7.53	$7.53	$7.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $34.60	Professional		$8.65	$8.65	$34.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $33.29 / $55.79	Facility		$30.28	$33.29	$55.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $19.46 / $19.46	Professional		$7.79	$19.46	$19.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.53 / $30.28	Facility		$7.53	$7.53	$30.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $11.18 / $12.50	Professional		$8.65	$11.18	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $17.30 / $26.10	Professional		$5.44	$17.30	$26.10