Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $52.98 / $176.83	Facility		$22.89	$52.98	$176.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $18.46 / $23.07	Professional		$5.07	$18.46	$23.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.22 / $15.22	Facility		$15.22	$15.22	$15.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.20 / $7.74	Professional		$3.99	$6.20	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Facility		$4.99	$4.99	$4.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $22.04	Professional		$5.51	$5.51	$22.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $21.21 / $35.54	Facility		$19.29	$21.21	$35.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $12.40 / $12.40	Professional		$4.96	$12.40	$12.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $19.29	Facility		$4.99	$4.99	$19.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $7.13	Professional		$5.51	$5.51	$7.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.02 / $16.62	Professional		$3.47	$11.02	$16.62