Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $48.98 / $83.18	Facility		$10.00	$48.98	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $21.88	Professional		$5.01	$6.03	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $9.77	Professional		$5.13	$7.76	$9.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.41 / $7.41	Facility		$6.76	$7.41	$7.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $27.54	Professional		$6.76	$6.76	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $43.65	Facility		$23.99	$26.30	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $15.49	Professional		$12.59	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.76 / $8.91	Professional		$5.13	$6.76	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $13.49 / $20.42	Professional		$4.27	$13.49	$20.42