Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $27.46 / $46.66	Facility		$5.89	$27.46	$46.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.33 / $25.59	Professional		$13.33	$13.33	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Facility		$11.01	$11.01	$11.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.54 / $5.68	Professional		$2.72	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $3.32	Facility		$3.32	$3.32	$3.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.92	Professional		$3.98	$3.98	$15.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $15.32 / $23.61	Facility		$13.93	$15.32	$23.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $8.96 / $8.96	Professional		$3.58	$8.96	$8.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $13.93	Facility		$3.32	$3.32	$13.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.98 / $4.73	Professional		$3.66	$3.98	$4.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $7.96 / $12.01	Professional		$2.29	$7.96	$12.01