Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $44.56 / $127.52	Facility		$12.73	$44.56	$127.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.51 / $12.73	Professional		$4.01	$4.51	$12.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.54 / $5.68	Professional		$2.54	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Facility		$3.12	$3.12	$3.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $15.20	Professional		$3.80	$3.80	$15.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $14.63 / $22.18	Facility		$13.30	$14.63	$22.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $8.55 / $52.50	Professional		$3.42	$8.55	$52.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $13.30	Facility		$3.12	$3.12	$13.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.45 / $4.97	Professional		$3.44	$4.45	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $7.60 / $11.47	Professional		$2.16	$7.60	$11.47