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 $6.08 / $24.12 / $27.60	Professional		$6.08	$24.12	$27.60
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 $4.90 / $8.26 / $10.33	Professional		$4.90	$8.26	$10.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Facility		$5.98	$5.98	$5.98
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 / $42.61	Facility		$25.20	$27.72	$42.61
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 $5.98 / $5.98 / $25.20	Facility		$5.98	$5.98	$25.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.20 / $8.53	Professional		$6.62	$7.20	$8.53
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $14.40 / $21.72	Professional		$4.15	$14.40	$21.72