Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $46.31 / $78.68	Facility		$9.93	$46.31	$78.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.48 / $43.15	Professional		$22.48	$22.48	$43.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $18.53 / $18.53	Facility		$18.53	$18.53	$18.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $7.85 / $9.81	Professional		$3.99	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $26.84	Professional		$6.71	$6.71	$26.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $25.83 / $35.11	Facility		$23.49	$25.83	$35.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.21 / $26.88	Professional		$6.04	$11.21	$26.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $23.49	Facility		$4.88	$4.88	$23.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.71 / $18.45	Professional		$6.04	$6.71	$18.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $13.42 / $20.25	Professional		$3.45	$13.42	$20.25