Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $29.46 / $50.05	Facility		$17.73	$29.46	$50.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $14.82	Professional		$14.30	$14.30	$14.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Facility		$11.82	$11.82	$11.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $4.50 / $5.63	Professional		$2.24	$4.50	$5.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $5.55 / $8.11	Facility		$5.55	$5.55	$8.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $17.07	Professional		$4.26	$4.26	$17.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $16.44 / $34.89	Facility		$14.94	$16.44	$34.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $9.61 / $9.61	Professional		$3.84	$9.61	$9.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $5.55 / $14.30	Facility		$5.55	$5.55	$14.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.99 / $11.13	Professional		$4.26	$6.99	$11.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $8.53 / $12.88	Professional		$3.40	$8.53	$12.88