Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.51 / $123.51 / $123.51	Facility		$123.51	$123.51	$123.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.03 / $13.03	Professional		$13.03	$13.03	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $6.93	Professional		$6.93	$6.93	$6.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $13.03 / $18.23	Facility		$10.67	$13.03	$18.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $13.01 / $40.71	Professional		$12.89	$13.01	$40.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $13.37 / $3,495.87	Facility		$13.37	$13.37	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $13.37 / $13.37	Professional		$9.78	$13.37	$13.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $13.03 / $18.23	Facility		$10.78	$13.03	$18.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $11.39 / $15.90	Professional		$9.59	$11.39	$15.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.76 / $34.17	Professional		$6.62	$7.76	$34.17