Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $49.69 / $84.42	Facility		$10.66	$49.69	$84.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $24.12 / $46.30	Professional		$24.12	$24.12	$46.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $19.89 / $19.89	Facility		$19.89	$19.89	$19.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.26 / $10.33	Professional		$5.45	$8.26	$10.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $7.79 / $7.79	Facility		$7.79	$7.79	$7.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $28.80	Professional		$7.20	$7.20	$28.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $27.72 / $48.49	Facility		$25.20	$27.72	$48.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $16.20 / $16.20	Professional		$6.48	$16.20	$16.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $7.79 / $25.20	Facility		$7.79	$7.79	$25.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $10.84	Professional		$7.20	$7.20	$10.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $14.40 / $21.72	Professional		$4.72	$14.40	$21.72