Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $51.74 / $95.06	Facility		$13.63	$51.74	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $6.76 / $10.99	Professional		$2.72	$6.76	$10.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $3.72 / $4.65	Professional		$1.63	$3.72	$4.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Facility		$1.64	$1.64	$1.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.28 / $13.12	Professional		$3.28	$3.28	$13.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $11.61 / $13.12	Facility		$9.80	$11.61	$13.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $7.38 / $43.75	Professional		$2.95	$7.38	$43.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $9.80	Facility		$1.64	$1.64	$9.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.95 / $3.28	Professional		$2.33	$2.95	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $6.56 / $9.90	Professional		$1.47	$6.56	$9.90