Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $64.66 / $109.87	Facility		$13.87	$64.66	$109.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $31.39 / $35.92	Professional		$6.60	$31.39	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $25.88 / $25.88	Facility		$25.88	$25.88	$25.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $10.74 / $13.42	Professional		$3.63	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $37.47	Professional		$9.36	$9.36	$37.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $32.79 / $37.47	Facility		$27.32	$32.79	$37.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $14.06 / $37.47	Professional		$8.43	$14.06	$37.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $27.32	Facility		$4.69	$4.69	$27.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.36 / $25.77	Professional		$6.49	$9.36	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $18.73 / $28.11	Professional		$3.30	$18.73	$28.11