Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $41.47 / $64.83	Facility		$23.30	$41.47	$64.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $36.07	Professional		$18.79	$18.79	$36.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $15.51 / $15.51	Facility		$15.51	$15.51	$15.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.20 / $7.74	Professional		$3.81	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $6.07	Facility		$6.07	$6.07	$6.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $22.44	Professional		$5.61	$5.61	$22.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $21.60 / $33.36	Facility		$19.64	$21.60	$33.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $12.62 / $12.62	Professional		$5.05	$12.62	$12.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $19.64	Facility		$6.07	$6.07	$19.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.61 / $6.69	Professional		$5.18	$5.61	$6.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $11.22 / $16.93	Professional		$3.25	$11.22	$16.93