Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $39.96 / $67.90	Facility		$8.57	$39.96	$67.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $19.39 / $22.20	Professional		$4.37	$19.39	$22.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $15.98	Facility		$15.98	$15.98	$15.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.61 / $8.26	Professional		$3.45	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $23.16	Professional		$5.79	$5.79	$23.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $22.29 / $30.62	Facility		$20.27	$22.29	$30.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $13.03 / $13.03	Professional		$5.21	$13.03	$13.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $20.27	Facility		$4.21	$4.21	$20.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.79 / $6.86	Professional		$5.21	$5.79	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $11.58 / $17.47	Professional		$2.99	$11.58	$17.47