Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Facility		$35.34	$35.34	$35.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.04 / $42.30	Professional		$20.57	$32.04	$42.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $26.43	Professional		$18.10	$24.80	$26.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Facility		$11.59	$11.59	$11.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $56.13	Professional		$35.54	$35.54	$56.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $36.54	Facility		$32.76	$32.76	$36.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $36.54 / $75.34	Professional		$29.60	$36.54	$75.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $25.25	Facility		$11.59	$11.59	$25.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $29.72 / $43.85	Professional		$24.80	$29.72	$43.85
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.67 / $46.67	Professional		$18.07	$18.67	$46.67