Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.88 / $44.67	Facility		$7.08	$12.88	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $12.02	Professional		$6.03	$6.03	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $8.32	Facility		$6.92	$6.92	$8.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $22.39	Professional		$6.92	$6.92	$22.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.72 / $16.60	Facility		$6.92	$10.72	$16.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Facility		$12.88	$12.88	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.41 / $60.26	Professional		$6.92	$7.41	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $13.80	Professional		$6.92	$10.23	$13.80