Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $53.62 / $91.11	Facility		$32.28	$53.62	$91.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $26.03 / $38.69	Professional		$26.03	$26.03	$38.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $21.46 / $21.46	Facility		$21.46	$21.46	$21.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $8.25 / $10.31	Professional		$4.08	$8.25	$10.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $13.57	Facility		$8.05	$8.05	$13.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $31.08	Professional		$7.77	$7.77	$31.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $29.91 / $50.15	Facility		$27.20	$29.91	$50.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $17.48 / $17.48	Professional		$6.99	$17.48	$17.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $26.03	Facility		$8.05	$8.05	$26.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $10.05 / $15.99	Professional		$7.77	$10.05	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $15.54 / $23.44	Professional		$4.88	$15.54	$23.44