Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $50.45 / $85.72	Facility		$10.82	$50.45	$85.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $24.49 / $28.03	Professional		$5.20	$24.49	$28.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $20.19 / $20.19	Facility		$20.19	$20.19	$20.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.67 / $10.84	Professional		$4.17	$8.67	$10.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $29.24	Professional		$7.31	$7.31	$29.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $28.14 / $36.45	Facility		$25.58	$28.14	$36.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $16.45 / $16.45	Professional		$6.58	$16.45	$16.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $25.58	Facility		$5.33	$5.33	$25.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.58 / $7.31	Professional		$6.25	$6.58	$7.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $14.62 / $22.06	Professional		$3.56	$14.62	$22.06