Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $30.98 / $52.64	Facility		$6.65	$30.98	$52.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $28.87	Professional		$15.04	$15.04	$28.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Facility		$12.41	$12.41	$12.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $5.37 / $6.71	Professional		$2.72	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $3.27 / $3.27	Facility		$3.27	$3.27	$3.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $17.96	Professional		$4.49	$4.49	$17.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $17.29 / $24.03	Facility		$15.72	$17.29	$24.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $10.10 / $10.10	Professional		$4.04	$10.10	$10.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $3.27 / $15.72	Facility		$3.27	$3.27	$15.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.49 / $4.82	Professional		$4.04	$4.49	$4.82
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $8.98 / $13.55	Professional		$2.34	$8.98	$13.55