Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $53.42 / $90.76	Facility		$11.46	$53.42	$90.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $25.93 / $29.68	Professional		$25.93	$25.93	$29.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $9.09 / $11.36	Professional		$3.81	$9.09	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $3.87	Facility		$3.87	$3.87	$3.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $24.92	Professional		$7.74	$7.74	$24.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $28.64 / $33.75	Facility		$27.09	$28.64	$33.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $17.42 / $17.42	Professional		$6.97	$17.42	$17.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $27.09	Facility		$3.87	$3.87	$27.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.97 / $7.74	Professional		$6.76	$6.97	$7.74
United Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $15.48 / $23.35	Professional		$3.29	$15.48	$23.35