Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $59.41 / $99.50	Facility		$12.74	$59.41	$99.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $28.84 / $28.84	Professional		$7.92	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Facility		$23.80	$23.80	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.91 / $12.39	Professional		$6.35	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Facility		$7.80	$7.80	$7.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $34.44	Professional		$8.61	$8.61	$34.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $33.15 / $55.51	Facility		$30.13	$33.15	$55.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $19.37 / $19.37	Professional		$7.75	$19.37	$19.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $30.13	Facility		$7.80	$7.80	$30.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $12.44	Professional		$8.61	$8.61	$12.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $17.22 / $25.98	Professional		$5.41	$17.22	$25.98