Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $40.44 / $68.70	Facility		$8.67	$40.44	$68.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $37.68	Professional		$19.63	$19.63	$37.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Facility		$16.19	$16.19	$16.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.61 / $8.26	Professional		$4.36	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $5.11 / $5.11	Facility		$5.11	$5.11	$5.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $23.44	Professional		$5.86	$5.86	$23.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $22.56 / $37.83	Facility		$20.51	$22.56	$37.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $13.19 / $13.19	Professional		$5.27	$13.19	$13.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $5.11 / $20.51	Facility		$5.11	$5.11	$20.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.20 / $8.05	Professional		$5.86	$7.20	$8.05
United Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $11.72 / $17.68	Professional		$3.69	$11.72	$17.68