Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $74.13 / $125.89	Facility		$15.14	$74.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $33.88	Professional		$7.94	$8.91	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $15.14	Professional		$7.59	$12.02	$15.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $10.23	Facility		$9.33	$9.33	$10.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $41.69	Professional		$10.23	$10.23	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $39.81 / $66.07	Facility		$36.31	$39.81	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $23.44	Professional		$19.05	$23.44	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $13.49	Professional		$7.59	$10.23	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $20.89 / $30.90	Professional		$6.46	$20.89	$30.90