Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $57.00 / $96.85	Facility		$12.22	$57.00	$96.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $27.67 / $53.11	Professional		$27.67	$27.67	$53.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $22.82 / $22.82	Facility		$22.82	$22.82	$22.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $9.50 / $11.87	Professional		$5.26	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Facility		$6.62	$6.62	$6.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.26 / $33.04	Professional		$8.26	$8.26	$33.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $31.80 / $47.12	Facility		$28.91	$31.80	$47.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $18.59 / $18.59	Professional		$7.43	$18.59	$18.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $28.91	Facility		$6.62	$6.62	$28.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.26 / $9.44	Professional		$7.43	$8.26	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $16.52 / $24.92	Professional		$4.59	$16.52	$24.92