Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $34.15 / $58.03	Facility		$20.56	$34.15	$58.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $17.18	Professional		$16.57	$16.57	$17.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Facility		$13.69	$13.69	$13.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $5.25 / $6.56	Professional		$2.60	$5.25	$6.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $8.77	Facility		$5.28	$5.28	$8.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $19.80	Professional		$4.95	$4.95	$19.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $19.05 / $32.47	Facility		$17.32	$19.05	$32.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $11.14 / $11.14	Professional		$4.46	$11.14	$11.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $5.28 / $16.57	Facility		$5.28	$5.28	$16.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $6.51 / $10.35	Professional		$4.95	$6.51	$10.35
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $9.90 / $14.94	Professional		$3.16	$9.90	$14.94