Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $45.65 / $53.90	Facility		$17.71	$45.65	$53.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $7.33 / $14.17	Professional		$3.79	$7.33	$14.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Facility		$11.69	$11.69	$11.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.96 / $6.20	Professional		$2.36	$4.96	$6.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.08 / $3.08	Facility		$3.08	$3.08	$3.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $16.92	Professional		$4.23	$4.23	$16.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $15.65 / $16.92	Facility		$14.81	$15.65	$16.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $9.52 / $55.00	Professional		$3.81	$9.52	$55.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.08 / $3.08	Facility		$3.08	$3.08	$3.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.21 / $4.70	Professional		$3.81	$4.21	$4.70
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $8.46 / $12.76	Professional		$2.04	$8.46	$12.76