Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $44.78 / $76.09	Facility		$9.61	$44.78	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $41.73	Professional		$21.74	$21.74	$41.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $17.94	Facility		$17.94	$17.94	$17.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.43 / $9.28	Professional		$3.63	$7.43	$9.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Facility		$4.72	$4.72	$4.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $25.96	Professional		$6.49	$6.49	$25.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $24.99 / $31.95	Facility		$22.72	$24.99	$31.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $14.60 / $14.60	Professional		$5.84	$14.60	$14.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $22.72	Facility		$4.72	$4.72	$22.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $6.40 / $7.16	Professional		$5.84	$6.40	$7.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $12.98 / $19.57	Professional		$3.12	$12.98	$19.57