Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $67.90 / $115.36	Facility		$14.56	$67.90	$115.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $32.96 / $63.27	Professional		$20.12	$32.96	$63.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $27.20	Facility		$27.20	$27.20	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $11.15 / $13.94	Professional		$6.53	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Facility		$10.64	$10.64	$10.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $9.84 / $39.36	Professional		$9.84	$9.84	$39.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $22.14 / $22.14	Professional		$8.86	$22.14	$22.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Facility		$10.64	$10.64	$10.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.53 / $9.84	Professional		$6.25	$6.53	$9.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $19.68 / $29.69	Professional		$5.60	$19.68	$29.69