Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $40.58 / $67.97	Facility		$8.69	$40.58	$67.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $19.70 / $22.54	Professional		$3.97	$19.70	$22.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Facility		$16.23	$16.23	$16.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.61 / $8.26	Professional		$3.09	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $23.52	Professional		$5.88	$5.88	$23.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $22.64 / $27.87	Facility		$20.58	$22.64	$27.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $13.23 / $13.23	Professional		$5.29	$13.23	$13.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $16.23	Facility		$4.29	$4.29	$16.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.16 / $5.88	Professional		$3.72	$4.16	$5.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $11.76 / $11.76	Professional		$2.71	$11.76	$11.76