Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $50.12 / $63.10	Facility		$18.62	$50.12	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.13	Professional		$3.02	$3.98	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.01 / $6.17	Professional		$3.09	$5.01	$6.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $14.45	Facility		$3.89	$3.89	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $17.38	Professional		$4.27	$4.27	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.60 / $27.54	Facility		$15.14	$16.60	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $9.77	Professional		$7.94	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $5.50	Professional		$3.09	$4.27	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $8.71 / $12.88	Professional		$2.69	$8.71	$12.88