Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $56.39 / $74.22	Facility		$20.94	$56.39	$74.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.32 / $16.11	Professional		$5.62	$6.32	$16.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Facility		$13.30	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $5.78 / $7.23	Professional		$3.45	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Facility		$4.36	$4.36	$4.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $19.23	Professional		$4.80	$4.80	$19.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $10.82 / $10.82	Professional		$4.33	$10.82	$10.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Facility		$4.36	$4.36	$4.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.22 / $6.96	Professional		$4.80	$6.22	$6.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $9.61 / $14.51	Professional		$3.02	$9.61	$14.51