Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $70.79 / $120.23	Facility		$14.45	$70.79	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $32.36	Professional		$7.08	$8.91	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.22 / $13.80	Professional		$6.46	$11.22	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.72 / $10.72	Facility		$9.77	$10.72	$10.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $39.81	Professional		$9.77	$9.77	$39.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $44.67	Facility		$34.67	$37.15	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $22.39	Professional		$14.13	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $9.77	Professional		$6.31	$8.91	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $19.50 / $29.51	Professional		$5.62	$19.50	$29.51