Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $47.64 / $104.14	Facility		$26.37	$47.64	$104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $40.83	Professional		$21.27	$21.27	$40.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Facility		$17.55	$17.55	$17.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $7.43 / $9.28	Professional		$2.72	$7.43	$9.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $3.18 / $3.18	Facility		$3.18	$3.18	$3.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $20.45	Professional		$6.35	$6.35	$20.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $23.50 / $25.40	Facility		$20.84	$23.50	$25.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $9.52 / $25.40	Professional		$5.72	$9.52	$25.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $3.18 / $20.84	Facility		$3.18	$3.18	$20.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.35 / $17.46	Professional		$4.94	$6.35	$17.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $12.70 / $12.70	Professional		$2.42	$12.70	$12.70