Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $69.64 / $108.78	Facility		$21.43	$69.64	$108.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.75 / $17.14	Professional		$5.99	$6.75	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Facility		$14.15	$14.15	$14.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.78 / $7.23	Professional		$3.81	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.12 / $20.48	Professional		$5.12	$5.12	$20.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $11.52 / $65.25	Professional		$4.61	$11.52	$65.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.12 / $7.41	Professional		$5.12	$5.12	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $10.24 / $15.45	Professional		$3.22	$10.24	$15.45