Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $47.48 / $80.68	Facility		$10.18	$47.48	$80.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $23.05 / $44.24	Professional		$23.05	$23.05	$44.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $7.85 / $9.81	Professional		$4.72	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Facility		$7.45	$7.45	$7.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $27.52	Professional		$6.88	$6.88	$27.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $26.49 / $41.76	Facility		$24.08	$26.49	$41.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $15.48 / $15.48	Professional		$6.19	$15.48	$15.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $7.45 / $24.08	Facility		$7.45	$7.45	$24.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.88 / $8.36	Professional		$6.46	$6.88	$8.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $13.76 / $20.76	Professional		$4.07	$13.76	$20.76