Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $45.81 / $77.84	Facility		$9.83	$45.81	$77.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $22.24 / $25.46	Professional		$6.09	$22.24	$25.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $18.36 / $18.36	Facility		$18.36	$18.36	$18.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.85 / $9.81	Professional		$4.90	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $26.56	Professional		$6.64	$6.64	$26.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $25.56 / $42.85	Facility		$23.24	$25.56	$42.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $14.94 / $14.94	Professional		$5.98	$14.94	$14.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $23.24	Facility		$6.01	$6.01	$23.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $9.59	Professional		$6.64	$6.64	$9.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $13.28 / $20.03	Professional		$4.17	$13.28	$20.03