Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $30.84 / $52.40	Facility		$6.62	$30.84	$52.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $28.74	Professional		$14.97	$14.97	$28.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Facility		$12.37	$12.37	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $5.37 / $6.71	Professional		$2.36	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $3.26	Facility		$3.26	$3.26	$3.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $13.41 / $17.88	Professional		$4.01	$13.41	$17.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $17.21 / $21.00	Facility		$15.65	$17.21	$21.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $10.06 / $10.06	Professional		$4.01	$10.06	$10.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $15.65	Facility		$3.26	$3.26	$15.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.21 / $4.69	Professional		$4.01	$4.21	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $8.94 / $13.49	Professional		$2.04	$8.94	$13.49