Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $54.68 / $107.40	Facility		$18.00	$54.68	$107.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $15.85 / $18.13	Professional		$3.95	$15.85	$18.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Facility		$13.05	$13.05	$13.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.78 / $7.23	Professional		$3.09	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $3.90 / $3.90	Facility		$3.90	$3.90	$3.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $18.92	Professional		$4.73	$4.73	$18.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $18.21 / $27.73	Facility		$16.55	$18.21	$27.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $10.64 / $37.50	Professional		$4.26	$10.64	$37.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $3.90 / $16.55	Facility		$3.90	$3.90	$16.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.73 / $5.56	Professional		$4.30	$4.73	$5.56
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $9.46 / $14.27	Professional		$2.70	$9.46	$14.27