Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $30.36 / $58.17	Facility		$18.28	$30.36	$58.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $14.74 / $16.87	Professional		$4.03	$14.74	$16.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $12.16 / $12.16	Facility		$12.16	$12.16	$12.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $5.37 / $6.71	Professional		$3.27	$5.37	$6.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $17.60	Professional		$4.40	$4.40	$17.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $16.94 / $28.39	Facility		$15.40	$16.94	$28.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $9.90 / $9.90	Professional		$3.96	$9.90	$9.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $15.40	Facility		$4.00	$4.00	$15.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $5.69	Professional		$4.40	$4.40	$5.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $8.80 / $13.28	Professional		$2.77	$8.80	$13.28