Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.95 / $63.10	Facility		$18.20	$54.95	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.01 / $6.17	Professional		$3.24	$5.01	$6.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.37 / $51.29	Facility		$3.98	$4.37	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $17.38	Professional		$4.37	$4.37	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $16.60 / $28.18	Facility		$4.37	$16.60	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $21.38	Professional		$8.13	$9.77	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.37 / $5.62	Professional		$3.24	$4.37	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $8.71 / $13.18	Professional		$2.75	$8.71	$13.18