Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $32.36 / $56.23	Facility		$6.76	$32.36	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $15.14	Professional		$3.02	$3.98	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.37 / $6.76	Professional		$3.24	$5.37	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.90 / $4.90	Facility		$4.57	$4.90	$4.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $18.20	Professional		$4.57	$4.57	$18.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $29.51	Facility		$15.85	$17.38	$29.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $10.23	Professional		$8.51	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $5.89	Professional		$3.24	$4.57	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $9.12 / $13.80	Professional		$2.88	$9.12	$13.80