Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $37.52 / $63.45	Facility		$18.00	$37.52	$63.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $18.39 / $21.05	Professional		$4.37	$18.39	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Facility		$15.17	$15.17	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.20 / $7.74	Professional		$3.45	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Facility		$4.30	$4.30	$4.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $5.49 / $17.68	Professional		$5.49	$5.49	$17.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $21.14 / $30.62	Facility		$19.22	$21.14	$30.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $12.35 / $12.35	Professional		$4.94	$12.35	$12.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $19.22	Facility		$4.30	$4.30	$19.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.14 / $6.86	Professional		$4.94	$6.14	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $10.98 / $16.55	Professional		$2.99	$10.98	$16.55