Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.77 / $49.82	Facility		$9.69	$18.77	$49.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $14.44 / $16.52	Professional		$3.95	$14.44	$16.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Facility		$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.96 / $6.20	Professional		$3.09	$4.96	$6.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Facility		$4.66	$4.66	$4.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $17.23	Professional		$4.30	$4.30	$17.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $16.59 / $27.73	Facility		$15.08	$16.59	$27.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $9.69 / $66.91	Professional		$3.88	$9.69	$66.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $15.08	Facility		$4.66	$4.66	$15.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.56 / $6.21	Professional		$4.30	$5.56	$6.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $8.61 / $13.00	Professional		$2.70	$8.61	$13.00