Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $32.45 / $55.13	Facility		$6.96	$32.45	$55.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $15.75 / $30.22	Professional		$15.75	$15.75	$30.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $13.01 / $13.01	Facility		$13.01	$13.01	$13.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $5.78 / $7.23	Professional		$2.72	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $3.42	Facility		$3.42	$3.42	$3.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $18.80	Professional		$4.70	$4.70	$18.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $18.10 / $23.79	Facility		$16.45	$18.10	$23.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $10.58 / $10.58	Professional		$4.23	$10.58	$10.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $16.45	Facility		$3.42	$3.42	$16.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.70 / $4.76	Professional		$4.23	$4.70	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $9.40 / $14.18	Professional		$2.31	$9.40	$14.18