Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $97.72	Facility		$18.20	$21.38	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.85	Professional		$3.98	$3.98	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.75 / $7.24	Professional		$3.63	$5.75	$7.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $22.39	Facility		$2.63	$2.63	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.61 / $19.95	Professional		$5.01	$6.61	$19.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $32.36	Facility		$17.38	$19.50	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $11.22	Professional		$9.33	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.01 / $6.46	Professional		$3.63	$5.01	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $10.00 / $15.14	Professional		$3.16	$10.00	$15.14