Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $59.04 / $98.61	Facility		$13.81	$59.04	$98.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.45 / $20.57	Professional		$6.62	$7.45	$20.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $16.96	Facility		$16.96	$16.96	$16.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.02 / $8.77	Professional		$4.17	$7.02	$8.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Facility		$5.15	$5.15	$5.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $24.56	Professional		$6.14	$6.14	$24.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $23.64 / $36.59	Facility		$21.49	$23.64	$36.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $13.82 / $13.82	Professional		$5.53	$13.82	$13.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $21.49	Facility		$5.15	$5.15	$21.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $6.14 / $8.19	Professional		$5.67	$6.14	$8.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $12.28 / $18.53	Professional		$3.57	$12.28	$18.53