Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $57.97 / $113.72	Facility		$24.30	$57.97	$113.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $20.20 / $25.25	Professional		$5.54	$20.20	$25.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $16.66	Facility		$16.66	$16.66	$16.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.02 / $8.77	Professional		$4.36	$7.02	$8.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Facility		$5.46	$5.46	$5.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $24.12	Professional		$6.03	$6.03	$24.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $23.22 / $38.92	Facility		$21.11	$23.22	$38.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $13.57 / $71.25	Professional		$5.43	$13.57	$71.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $21.11	Facility		$5.46	$5.46	$21.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.75	Professional		$6.03	$6.03	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $12.06 / $18.19	Professional		$3.79	$12.06	$18.19