Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $27.67 / $47.01	Facility		$5.93	$27.67	$47.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $13.43 / $15.37	Professional		$3.10	$13.43	$15.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $11.09 / $11.09	Facility		$11.09	$11.09	$11.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $4.54 / $5.68	Professional		$1.82	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Facility		$2.92	$2.92	$2.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $16.04	Professional		$4.01	$4.01	$16.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.84 / $16.04	Facility		$12.88	$14.84	$16.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $9.02 / $9.02	Professional		$3.61	$9.02	$9.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $12.88	Facility		$2.92	$2.92	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $4.01	Professional		$3.06	$3.06	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $8.02 / $12.10	Professional		$1.49	$8.02	$12.10