Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $71.63 / $121.70	Facility		$15.36	$71.63	$121.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $34.77 / $66.73	Professional		$34.77	$34.77	$66.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Facility		$28.69	$28.69	$28.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.98 / $14.97	Professional		$7.26	$11.98	$14.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.38 / $41.52	Professional		$10.38	$10.38	$41.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $39.96 / $63.80	Facility		$36.33	$39.96	$63.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $23.36 / $23.36	Professional		$9.34	$23.36	$23.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $36.33	Facility		$5.50	$5.50	$36.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.38 / $14.30	Professional		$9.89	$10.38	$14.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $20.76 / $31.32	Professional		$6.22	$20.76	$31.32