Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $61.81 / $161.69	Facility		$20.20	$61.81	$161.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $15.54 / $17.79	Professional		$4.26	$15.54	$17.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Facility		$12.84	$12.84	$12.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.37 / $6.71	Professional		$3.45	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Facility		$4.05	$4.05	$4.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $18.55	Professional		$4.63	$4.63	$18.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $17.86 / $29.91	Facility		$16.23	$17.86	$29.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $10.44 / $83.00	Professional		$4.18	$10.44	$83.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $16.23	Facility		$4.05	$4.05	$16.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.99 / $6.69	Professional		$4.63	$5.99	$6.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $9.27 / $14.00	Professional		$2.92	$9.27	$14.00