Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $71.30 / $121.14	Facility		$15.29	$71.30	$121.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $34.61 / $34.61	Professional		$9.50	$34.61	$34.61
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 $10.33 / $10.33 / $41.32	Professional		$10.33	$10.33	$41.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $39.77 / $66.64	Facility		$36.15	$39.77	$66.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $23.24 / $23.24	Professional		$9.30	$23.24	$23.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $36.15	Facility		$9.36	$9.36	$36.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $13.36	Professional		$10.33	$10.33	$13.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $20.66 / $31.17	Professional		$6.49	$20.66	$31.17