Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $58.88 / $109.65	Facility		$18.62	$58.88	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.01 / $6.17	Professional		$3.09	$5.01	$6.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $30.90	Facility		$3.89	$3.89	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $16.98	Professional		$4.27	$4.27	$16.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.60 / $27.54	Facility		$15.14	$16.60	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $9.55	Professional		$7.94	$9.55	$9.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $4.27	Professional		$3.09	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $8.51 / $12.88	Professional		$2.69	$8.51	$12.88