Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $29.75 / $63.23	Facility		$17.91	$29.75	$63.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $14.44 / $16.52	Professional		$3.93	$14.44	$16.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Facility		$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.96 / $6.20	Professional		$3.09	$4.96	$6.20
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 $4.30 / $4.30 / $17.23	Professional		$4.30	$4.30	$17.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $16.59 / $27.54	Facility		$15.08	$16.59	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $9.69 / $9.69	Professional		$3.88	$9.69	$9.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $15.08	Facility		$3.87	$3.87	$15.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.52 / $6.17	Professional		$4.28	$5.52	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $8.61 / $13.00	Professional		$2.68	$8.61	$13.00