Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $55.00 / $93.45	Facility		$11.80	$55.00	$93.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $26.70 / $30.56	Professional		$7.33	$26.70	$30.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $9.50 / $11.87	Professional		$5.81	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Facility		$8.63	$8.63	$8.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $31.88	Professional		$7.97	$7.97	$31.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $30.68 / $51.43	Facility		$27.90	$30.68	$51.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $17.93 / $17.93	Professional		$7.17	$17.93	$17.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $8.63 / $27.90	Facility		$8.63	$8.63	$27.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.31 / $11.52	Professional		$7.97	$10.31	$11.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.94 / $19.68	Professional		$5.01	$15.94	$19.68