Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $56.23 / $95.50	Facility		$11.75	$56.23	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $25.70	Professional		$6.03	$7.08	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.12 / $11.48	Professional		$5.75	$9.12	$11.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.94	Facility		$6.92	$6.92	$7.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $31.62	Professional		$7.94	$7.94	$31.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.20 / $51.29	Facility		$27.54	$30.20	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $17.78	Professional		$14.45	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $10.23	Professional		$5.75	$7.94	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $15.85 / $23.99	Professional		$4.90	$15.85	$23.99