Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $48.87 / $93.98	Facility		$15.23	$48.87	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $12.19 / $12.19	Professional		$2.75	$12.19	$12.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.07	Facility		$10.07	$10.07	$10.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.13 / $5.16	Professional		$2.18	$4.13	$5.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Facility		$2.65	$2.65	$2.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $14.56	Professional		$3.64	$3.64	$14.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $14.01 / $19.34	Facility		$12.74	$14.01	$19.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $8.19 / $8.19	Professional		$3.28	$8.19	$8.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $12.74	Facility		$2.65	$2.65	$12.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.88 / $4.34	Professional		$3.28	$3.88	$4.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $7.28 / $10.98	Professional		$1.89	$7.28	$10.98