Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $74.76 / $166.50	Facility		$26.87	$74.76	$166.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $21.67 / $24.81	Professional		$5.95	$21.67	$24.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $7.43 / $9.28	Professional		$4.72	$7.43	$9.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Facility		$5.87	$5.87	$5.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $25.88	Professional		$6.47	$6.47	$25.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $24.91 / $37.21	Facility		$22.65	$24.91	$37.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $14.56 / $14.56	Professional		$5.82	$14.56	$14.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $5.87 / $22.65	Facility		$5.87	$5.87	$22.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.47 / $8.36	Professional		$6.46	$6.47	$8.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.94 / $19.52	Professional		$4.07	$12.94	$19.52