Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $55.21 / $93.80	Facility		$11.84	$55.21	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $26.80 / $51.44	Professional		$26.80	$26.80	$51.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $9.50 / $11.87	Professional		$4.36	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Facility		$5.83	$5.83	$5.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $32.00	Professional		$8.00	$8.00	$32.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $30.80 / $38.44	Facility		$28.00	$30.80	$38.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $18.00 / $18.00	Professional		$7.20	$18.00	$18.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $5.83 / $28.00	Facility		$5.83	$5.83	$28.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.70 / $8.61	Professional		$7.20	$7.70	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $16.00 / $24.14	Professional		$3.75	$16.00	$24.14