Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $28.98 / $49.25	Facility		$6.22	$28.98	$49.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $14.07 / $16.10	Professional		$3.87	$14.07	$16.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $11.60	Facility		$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.96 / $6.20	Professional		$3.09	$4.96	$6.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $16.80	Professional		$4.20	$4.20	$16.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $16.17 / $27.11	Facility		$14.70	$16.17	$27.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $9.44 / $9.44	Professional		$3.78	$9.44	$9.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $14.70	Facility		$4.55	$4.55	$14.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $5.43	Professional		$4.20	$4.20	$5.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $8.40 / $12.67	Professional		$2.65	$8.40	$12.67