Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $73.62 / $125.09	Facility		$15.79	$73.62	$125.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $35.74 / $40.90	Professional		$9.83	$35.74	$40.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Facility		$29.50	$29.50	$29.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $12.39 / $15.49	Professional		$7.81	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Facility		$9.68	$9.68	$9.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $42.68	Professional		$10.67	$10.67	$42.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $41.08 / $68.87	Facility		$37.35	$41.08	$68.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $24.01 / $24.01	Professional		$9.60	$24.01	$24.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $37.35	Facility		$9.68	$9.68	$37.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $13.80	Professional		$10.67	$10.67	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $21.34 / $32.19	Professional		$6.71	$21.34	$32.19