Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $71.66 / $176.40	Facility		$21.02	$71.66	$176.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.60 / $16.82	Professional		$5.86	$6.60	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $13.86 / $13.86	Facility		$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.78 / $7.23	Professional		$3.63	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Facility		$4.38	$4.38	$4.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $20.07	Professional		$5.01	$5.01	$20.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $19.32 / $32.36	Facility		$17.57	$19.32	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $11.30 / $62.50	Professional		$4.51	$11.30	$62.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $17.57	Facility		$4.38	$4.38	$17.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.49 / $7.24	Professional		$5.01	$6.49	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $10.03 / $15.15	Professional		$3.16	$10.03	$15.15