Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $84.34 / $143.29	Facility		$18.09	$84.34	$143.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $27.57 / $40.94	Professional		$14.27	$27.57	$40.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Facility		$33.75	$33.75	$33.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $19.44	Professional		$8.89	$8.89	$19.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $58.54 / $58.54	Facility		$58.54	$58.54	$58.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.22 / $39.35	Professional		$12.22	$12.22	$39.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $27.50 / $27.50	Professional		$11.00	$27.50	$27.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $58.54	Facility		$33.75	$33.75	$58.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $19.44 / $33.61	Professional		$8.89	$19.44	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $30.16 / $36.86	Professional		$17.84	$30.16	$36.86