Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $45.00 / $65.20	Facility		$23.10	$45.00	$65.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $18.63 / $18.63	Professional		$4.37	$18.63	$18.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $15.34 / $15.34	Facility		$15.34	$15.34	$15.34
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 $5.56 / $5.56 / $22.24	Professional		$5.56	$5.56	$22.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $21.41 / $30.62	Facility		$19.46	$21.41	$30.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.51 / $12.51	Professional		$5.00	$12.51	$12.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $19.46	Facility		$4.30	$4.30	$19.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.56 / $6.14	Professional		$5.00	$5.56	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $11.12 / $16.78	Professional		$2.99	$11.12	$16.78