Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $61.51 / $80.84	Facility		$14.52	$61.51	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.67 / $15.01	Professional		$4.15	$4.67	$15.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Facility		$11.82	$11.82	$11.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.96 / $6.20	Professional		$2.54	$4.96	$6.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Facility		$3.11	$3.11	$3.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $17.07	Professional		$4.26	$4.26	$17.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $16.44 / $22.85	Facility		$14.94	$16.44	$22.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $9.61 / $50.00	Professional		$3.84	$9.61	$50.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.11 / $14.94	Facility		$3.11	$3.11	$14.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.26 / $5.12	Professional		$3.84	$4.26	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $8.53 / $12.88	Professional		$2.23	$8.53	$12.88