Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $80.28 / $115.64	Facility		$17.87	$80.28	$115.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.62 / $14.30	Professional		$4.99	$5.62	$14.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Facility		$11.82	$11.82	$11.82
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 $4.26 / $4.26 / $17.07	Professional		$4.26	$4.26	$17.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $16.44 / $27.54	Facility		$14.94	$16.44	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $9.61 / $52.50	Professional		$3.84	$9.61	$52.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $14.94	Facility		$3.87	$3.87	$14.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.28 / $5.52	Professional		$4.26	$4.28	$5.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $8.53 / $12.88	Professional		$2.68	$8.53	$12.88