Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $53.21 / $90.41	Facility		$11.41	$53.21	$90.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $25.83 / $49.58	Professional		$25.83	$25.83	$49.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $21.29 / $21.29	Facility		$21.29	$21.29	$21.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.09 / $11.36	Professional		$6.53	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.34 / $8.34	Facility		$8.34	$8.34	$8.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $7.71 / $30.84	Professional		$7.71	$7.71	$30.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $29.68 / $57.07	Facility		$26.99	$29.68	$57.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $17.35 / $17.35	Professional		$6.94	$17.35	$17.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.34 / $26.99	Facility		$8.34	$8.34	$26.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.71 / $12.78	Professional		$7.70	$7.71	$12.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $15.42 / $23.26	Professional		$5.56	$15.42	$23.26