Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $65.72 / $114.97	Facility		$23.73	$65.72	$114.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $18.98 / $18.98	Professional		$5.23	$18.98	$18.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Facility		$15.68	$15.68	$15.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.61 / $8.26	Professional		$4.17	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $22.68	Professional		$5.67	$5.67	$22.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $21.83 / $36.59	Facility		$19.85	$21.83	$36.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $12.76 / $85.00	Professional		$5.09	$12.76	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $19.85	Facility		$4.95	$4.95	$19.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $7.33	Professional		$5.67	$5.67	$7.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $11.34 / $17.11	Professional		$3.57	$11.34	$17.11