Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $33.11	Professional		$21.88	$21.88	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Facility		$21.88	$21.88	$26.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $70.79	Professional		$21.88	$21.88	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $50.12	Facility		$32.36	$32.36	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $38.90	Professional		$21.88	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $47.86	Facility		$33.11	$33.11	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $60.26	Professional		$21.88	$23.99	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $23.99	Professional		$19.05	$19.95	$23.99