Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $56.53 / $96.04	Facility		$12.12	$56.53	$96.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $27.44 / $31.40	Professional		$7.54	$27.44	$31.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $22.61	Facility		$22.61	$22.61	$22.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.50 / $11.87	Professional		$5.99	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Facility		$8.86	$8.86	$8.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $32.76	Professional		$8.19	$8.19	$32.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $31.53 / $52.80	Facility		$28.67	$31.53	$52.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $18.43 / $18.43	Professional		$7.37	$18.43	$18.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $8.86 / $28.67	Facility		$8.86	$8.86	$28.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $10.58	Professional		$8.19	$8.19	$10.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $16.38 / $24.71	Professional		$5.15	$16.38	$24.71