Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $65.69 / $134.19	Facility		$16.71	$65.69	$134.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.26 / $13.37	Professional		$4.66	$5.26	$13.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Facility		$11.01	$11.01	$11.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.54 / $5.68	Professional		$2.90	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $15.96	Professional		$3.99	$3.99	$15.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $15.36 / $25.79	Facility		$13.97	$15.36	$25.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $8.98 / $57.50	Professional		$3.59	$8.98	$57.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $13.97	Facility		$3.63	$3.63	$13.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.00 / $5.17	Professional		$3.99	$4.00	$5.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $7.98 / $12.04	Professional		$2.52	$7.98	$12.04