Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $52.99 / $123.14	Facility		$18.92	$52.99	$123.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $29.06	Professional		$15.14	$15.14	$29.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Facility		$12.50	$12.50	$12.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $5.37 / $6.71	Professional		$3.27	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $18.07	Professional		$4.51	$4.51	$18.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $17.39 / $29.15	Facility		$15.82	$17.39	$29.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.17 / $70.33	Professional		$4.07	$10.17	$70.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $15.82	Facility		$4.88	$4.88	$15.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.84 / $6.53	Professional		$4.51	$5.84	$6.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $9.03 / $13.64	Professional		$2.84	$9.03	$13.64