Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $32.36 / $54.99	Facility		$6.94	$32.36	$54.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $15.71 / $30.16	Professional		$15.71	$15.71	$30.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $12.96	Facility		$12.96	$12.96	$12.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.37 / $6.71	Professional		$3.09	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $18.76	Professional		$4.69	$4.69	$18.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $18.05 / $27.73	Facility		$16.42	$18.05	$27.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $10.55 / $10.55	Professional		$4.22	$10.55	$10.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $16.42	Facility		$5.08	$5.08	$16.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.69 / $6.21	Professional		$4.30	$4.69	$6.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $9.38 / $14.15	Professional		$2.70	$9.38	$14.15