Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $40.58 / $68.95	Facility		$8.69	$40.58	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $19.70 / $22.54	Professional		$5.41	$19.70	$22.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Facility		$16.23	$16.23	$16.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.61 / $8.26	Professional		$4.36	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Facility		$5.34	$5.34	$5.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $23.52	Professional		$5.88	$5.88	$23.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $22.64 / $37.97	Facility		$20.58	$22.64	$37.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $13.23 / $13.23	Professional		$5.29	$13.23	$13.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $5.34 / $20.58	Facility		$5.34	$5.34	$20.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.89 / $7.61	Professional		$5.88	$5.89	$7.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $11.76 / $17.73	Professional		$3.70	$11.76	$17.73