Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $54.24 / $92.16	Facility		$11.63	$54.24	$92.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $26.33 / $26.33	Professional		$7.24	$26.33	$26.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $21.72 / $21.72	Facility		$21.72	$21.72	$21.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $9.09 / $11.36	Professional		$5.81	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Facility		$6.86	$6.86	$6.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $31.44	Professional		$7.86	$7.86	$31.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $30.26 / $50.72	Facility		$27.51	$30.26	$50.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $17.69 / $17.69	Professional		$7.07	$17.69	$17.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $27.51	Facility		$6.86	$6.86	$27.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $11.36	Professional		$7.86	$7.86	$11.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $15.72 / $23.72	Professional		$4.94	$15.72	$23.72