Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $50.86 / $86.42	Facility		$10.91	$50.86	$86.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $24.69 / $47.39	Professional		$24.69	$24.69	$47.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Facility		$20.36	$20.36	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.67 / $10.84	Professional		$5.45	$8.67	$10.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $7.97 / $7.97	Facility		$7.97	$7.97	$7.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $29.48	Professional		$7.37	$7.37	$29.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $28.37 / $47.54	Facility		$25.80	$28.37	$47.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $16.57 / $16.57	Professional		$6.63	$16.57	$16.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $7.97 / $25.80	Facility		$7.97	$7.97	$25.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $9.52	Professional		$7.37	$7.37	$9.52
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $14.74 / $18.20	Professional		$4.63	$14.74	$18.20