Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $64.20 / $108.78	Facility		$17.20	$64.20	$108.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $5.20 / $13.23	Professional		$4.61	$5.20	$13.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.54 / $5.68	Professional		$2.90	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $15.80	Professional		$3.95	$3.95	$15.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.89 / $98.88	Professional		$3.56	$8.89	$98.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $5.09	Professional		$3.95	$3.95	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $7.90 / $11.92	Professional		$2.48	$7.90	$11.92