Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $42.66 / $74.13	Facility		$8.91	$42.66	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $19.95	Professional		$3.98	$5.01	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $7.08 / $8.71	Professional		$2.69	$7.08	$8.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $26.92	Facility		$3.02	$3.02	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $23.99	Professional		$5.01	$19.50	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $24.55	Facility		$20.42	$22.39	$24.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.49 / $13.49	Professional		$7.76	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.37 / $6.03	Professional		$2.69	$5.37	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $12.02 / $18.20	Professional		$2.34	$12.02	$18.20