Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Facility		$8.40	$8.40	$8.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $17.00 / $17.00	Professional		$10.33	$17.00	$17.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $7.38 / $15.77	Facility		$6.71	$7.38	$15.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.55 / $8.55	Professional		$5.99	$8.55	$8.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $3,495.87	Facility		$24.30	$24.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $24.30 / $34.63	Professional		$11.31	$24.30	$34.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $9.39 / $18.52	Facility		$6.71	$9.39	$18.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $22.50 / $36.00	Professional		$9.90	$22.50	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.55 / $21.78	Professional		$4.34	$4.55	$21.78