Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $68.80 / $106.82	Facility		$20.70	$68.80	$106.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $16.95 / $16.95	Professional		$4.48	$16.95	$16.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $13.98 / $13.98	Facility		$13.98	$13.98	$13.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.78 / $7.23	Professional		$3.63	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Facility		$4.41	$4.41	$4.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $20.23	Professional		$5.05	$5.05	$20.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $19.48 / $31.38	Facility		$17.71	$19.48	$31.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $11.39 / $45.00	Professional		$4.55	$11.39	$45.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $4.41 / $17.71	Facility		$4.41	$4.41	$17.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.05 / $6.29	Professional		$4.86	$5.05	$6.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $10.11 / $15.27	Professional		$3.06	$10.11	$15.27