Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $55.68 / $94.61	Facility		$11.94	$55.68	$94.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $51.89	Professional		$27.03	$27.03	$51.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Facility		$22.31	$22.31	$22.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.50 / $11.87	Professional		$4.90	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Facility		$5.88	$5.88	$5.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $25.99	Professional		$8.07	$8.07	$25.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $31.07 / $43.23	Facility		$28.25	$31.07	$43.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $18.16 / $18.16	Professional		$7.26	$18.16	$18.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $28.25	Facility		$5.88	$5.88	$28.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $8.07 / $8.66	Professional		$7.26	$8.07	$8.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $16.14 / $16.54	Professional		$4.21	$16.14	$16.54