Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $42.66	Facility		$11.48	$19.50	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $16.22	Professional		$3.02	$5.01	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.76 / $12.59	Professional		$3.63	$6.76	$12.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.41 / $15.49	Facility		$4.79	$7.41	$15.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $17.38 / $27.54	Professional		$7.41	$17.38	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $3,467.37	Facility		$10.47	$10.47	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $23.44	Professional		$9.55	$12.30	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.61 / $15.49	Facility		$4.79	$6.61	$15.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.59 / $79.43	Professional		$6.31	$12.59	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $15.85 / $23.99	Professional		$5.89	$15.85	$23.99