Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $53.21 / $89.11	Facility		$11.41	$53.21	$89.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $25.83 / $32.28	Professional		$7.08	$25.83	$32.28
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 $5.63 / $9.09 / $11.36	Professional		$5.63	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $6.72 / $6.72	Facility		$6.72	$6.72	$6.72
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 / $49.72	Facility		$26.99	$29.68	$49.72
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 $6.72 / $6.72 / $26.99	Facility		$6.72	$6.72	$26.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.71 / $9.97	Professional		$7.70	$7.71	$9.97
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $15.42 / $23.26	Professional		$4.84	$15.42	$23.26