Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $51.54 / $87.57	Facility		$11.06	$51.54	$87.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $25.02 / $28.64	Professional		$6.15	$25.02	$28.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.67 / $10.84	Professional		$4.90	$8.67	$10.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $8.08 / $8.08	Facility		$8.08	$8.08	$8.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $7.47 / $24.05	Professional		$7.47	$7.47	$24.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $28.76 / $43.09	Facility		$26.15	$28.76	$43.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $16.80 / $16.80	Professional		$6.72	$16.80	$16.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $8.08 / $26.15	Facility		$8.08	$8.08	$26.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.47 / $9.65	Professional		$6.72	$7.47	$9.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $14.94 / $22.54	Professional		$4.20	$14.94	$22.54