Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $31.54 / $56.91	Facility		$10.91	$31.54	$56.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $10.11 / $11.58	Professional		$2.77	$10.11	$11.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Facility		$8.33	$8.33	$8.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.30 / $4.13	Professional		$2.18	$3.30	$4.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Facility		$2.73	$2.73	$2.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $12.08	Professional		$3.02	$3.02	$12.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $11.63 / $19.48	Facility		$10.57	$11.63	$19.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $6.80 / $46.25	Professional		$2.72	$6.80	$46.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $10.57	Facility		$2.73	$2.73	$10.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.90	Professional		$3.02	$3.02	$3.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $6.04 / $9.11	Professional		$1.89	$6.04	$9.11