Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $40.17 / $68.25	Facility		$8.61	$40.17	$68.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $37.42	Professional		$19.50	$19.50	$37.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.61 / $8.26	Professional		$3.09	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Facility		$4.23	$4.23	$4.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $23.28	Professional		$5.82	$5.82	$23.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $22.41 / $27.59	Facility		$20.37	$22.41	$27.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $13.10 / $13.10	Professional		$5.24	$13.10	$13.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $20.37	Facility		$4.23	$4.23	$20.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.53 / $6.18	Professional		$5.24	$5.53	$6.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $11.64 / $17.55	Professional		$2.70	$11.64	$17.55