Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $40.79 / $64.51	Facility		$22.85	$40.79	$64.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $18.43 / $23.03	Professional		$5.05	$18.43	$23.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.22 / $15.22	Facility		$15.22	$15.22	$15.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.20 / $7.74	Professional		$3.99	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Facility		$4.80	$4.80	$4.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $22.00	Professional		$5.50	$5.50	$22.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $21.18 / $35.46	Facility		$19.25	$21.18	$35.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $12.38 / $12.38	Professional		$4.95	$12.38	$12.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $19.25	Facility		$4.80	$4.80	$19.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $7.11	Professional		$5.50	$5.50	$7.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $11.00 / $16.59	Professional		$3.46	$11.00	$16.59