Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $44.64 / $75.84	Facility		$26.87	$44.64	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $21.67 / $32.22	Professional		$21.67	$21.67	$32.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Facility		$17.89	$17.89	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.75 / $8.44	Professional		$3.40	$6.75	$8.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $11.30	Facility		$6.67	$6.67	$11.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $25.88	Professional		$6.47	$6.47	$25.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $24.91 / $41.76	Facility		$22.65	$24.91	$41.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $14.56 / $14.56	Professional		$5.82	$14.56	$14.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $21.67	Facility		$6.67	$6.67	$21.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.36 / $13.31	Professional		$6.46	$8.36	$13.31
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $12.94 / $19.52	Professional		$4.07	$12.94	$19.52