Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $71.67 / $106.82	Facility		$12.52	$71.67	$106.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.92 / $10.02	Professional		$3.49	$3.92	$10.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $8.25	Facility		$8.25	$8.25	$8.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.30 / $4.13	Professional		$2.18	$3.30	$4.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $2.71 / $71.28	Facility		$2.71	$2.71	$71.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $11.96	Professional		$2.99	$2.99	$11.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.51 / $19.23	Facility		$10.47	$11.51	$19.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $6.73 / $58.75	Professional		$2.69	$6.73	$58.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $2.71 / $10.47	Facility		$2.71	$2.71	$10.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.86 / $4.30	Professional		$2.99	$3.86	$4.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.98 / $9.02	Professional		$4.03	$5.98	$9.02