Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $52.54 / $96.20	Facility		$18.61	$52.54	$96.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $15.01 / $15.01	Professional		$4.12	$15.01	$15.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Facility		$12.37	$12.37	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $5.37 / $6.71	Professional		$3.27	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Facility		$4.05	$4.05	$4.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $17.92	Professional		$4.48	$4.48	$17.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $17.25 / $28.87	Facility		$15.68	$17.25	$28.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $10.08 / $69.55	Professional		$4.03	$10.08	$69.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $15.68	Facility		$4.05	$4.05	$15.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.48 / $5.79	Professional		$4.47	$4.48	$5.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $8.96 / $13.52	Professional		$2.81	$8.96	$13.52