Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $43.75 / $68.36	Facility		$24.22	$43.75	$68.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $9.63 / $19.53	Professional		$4.99	$9.63	$19.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $16.11 / $16.11	Facility		$16.11	$16.11	$16.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $6.75 / $8.44	Professional		$3.06	$6.75	$8.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.72 / $7.35	Facility		$4.44	$4.72	$7.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $23.32	Professional		$5.83	$5.83	$23.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $22.45 / $27.54	Facility		$20.41	$22.45	$27.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $13.12 / $13.12	Professional		$5.25	$13.12	$13.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.78 / $16.11	Facility		$4.44	$4.78	$16.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.52 / $8.78	Professional		$5.25	$5.52	$8.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $11.66 / $17.59	Professional		$2.68	$11.66	$17.59