Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $57.54 / $57.54	Facility		$9.77	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $15.85	Professional		$7.94	$7.94	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $28.18	Professional		$8.71	$8.71	$28.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.79 / $23.44	Facility		$8.71	$14.79	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $23.44	Facility		$16.22	$16.22	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.55 / $60.26	Professional		$8.91	$9.55	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $645.65	Professional		$8.71	$13.18	$645.65