Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $75.88 / $92.48	Facility		$31.32	$75.88	$92.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $25.06 / $25.06	Professional		$6.33	$25.06	$25.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.67 / $10.84	Professional		$5.08	$8.67	$10.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Facility		$6.25	$6.25	$6.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $29.92	Professional		$7.48	$7.48	$29.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $28.80 / $44.51	Facility		$26.18	$28.80	$44.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $16.82 / $72.50	Professional		$6.73	$16.82	$72.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $26.18	Facility		$6.25	$6.25	$26.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $7.48 / $9.98	Professional		$6.89	$7.48	$9.98
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $14.96 / $22.57	Professional		$4.33	$14.96	$22.57