Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $52.72 / $89.57	Facility		$11.31	$52.72	$89.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $25.59 / $29.29	Professional		$6.79	$25.59	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.12	Facility		$21.12	$21.12	$21.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.09 / $11.36	Professional		$5.45	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Facility		$8.27	$8.27	$8.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $7.64 / $30.56	Professional		$7.64	$7.64	$30.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $29.41 / $47.64	Facility		$26.74	$29.41	$47.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $17.19 / $17.19	Professional		$6.88	$17.19	$17.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $26.74	Facility		$8.27	$8.27	$26.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.55 / $10.67	Professional		$7.39	$9.55	$10.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $15.28 / $23.05	Professional		$4.63	$15.28	$23.05