Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $73.09 / $114.21	Facility		$40.46	$73.09	$114.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $33.79	Professional		$32.63	$32.63	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $26.90 / $26.90	Facility		$26.90	$26.90	$26.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $10.13 / $12.66	Professional		$5.12	$10.13	$12.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $7.99 / $12.27	Facility		$7.22	$7.99	$12.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $38.96	Professional		$9.74	$9.74	$38.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $37.50 / $46.17	Facility		$34.09	$37.50	$46.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $21.92 / $21.92	Professional		$8.77	$21.92	$21.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $7.99 / $18.98	Facility		$7.22	$7.99	$18.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $9.74 / $38.96	Professional		$8.77	$9.74	$38.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $19.48 / $29.39	Professional		$4.50	$19.48	$29.39