Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $43.65 / $74.13	Facility		$8.91	$43.65	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $19.95	Professional		$3.98	$5.01	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.08 / $8.71	Professional		$3.63	$7.08	$8.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $6.03	Facility		$4.37	$4.37	$6.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $23.99	Professional		$6.03	$6.03	$23.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $32.36	Facility		$21.38	$23.44	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $13.49	Professional		$9.33	$13.49	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $6.46	Professional		$3.63	$5.50	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $12.02 / $18.20	Professional		$3.16	$12.02	$18.20