Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $52.49 / $77.42	Facility		$13.17	$52.49	$77.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $13.17 / $37.60	Professional		$4.58	$13.17	$37.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Facility		$10.84	$10.84	$10.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.54 / $5.68	Professional		$2.90	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $15.72	Professional		$3.93	$3.93	$15.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $8.84 / $53.75	Professional		$3.54	$8.84	$53.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $5.67	Professional		$3.93	$3.93	$5.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $7.86 / $11.86	Professional		$2.47	$7.86	$11.86