Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $16.48 / $58.28	Facility		$16.48	$16.48	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.64 / $16.64	Professional		$10.23	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Professional		$10.48	$10.48	$10.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Facility		$23.81	$23.81	$23.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $3.33	Professional		$2.33	$2.33	$3.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $27.13	Facility		$17.26	$17.26	$27.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $23.81 / $40.69	Facility		$17.26	$23.81	$40.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.33 / $10.48	Professional		$2.33	$3.33	$10.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $15.41 / $20.72	Professional		$10.27	$15.41	$20.72