Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $89.13 / $100.00	Facility		$33.88	$89.13	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $7.24	Professional		$3.47	$5.75	$7.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.79 / $85.11	Facility		$4.27	$4.79	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $19.05	Professional		$4.79	$5.50	$19.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $18.20 / $30.90	Facility		$16.60	$18.20	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $23.44	Professional		$8.71	$10.72	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.79 / $6.17	Professional		$3.47	$4.79	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $9.55 / $14.45	Professional		$2.95	$9.55	$14.45