Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $77.62 / $107.15	Facility		$35.48	$77.62	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $16.98	Professional		$3.98	$4.68	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.75 / $7.24	Professional		$3.80	$5.75	$7.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.13 / $63.10	Facility		$4.68	$5.13	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $20.89	Professional		$5.13	$5.13	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $33.11	Facility		$18.20	$19.95	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $25.70	Professional		$9.55	$11.75	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.13 / $6.76	Professional		$3.80	$5.13	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $10.47 / $15.49	Professional		$3.24	$10.47	$15.49