Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $7.61 / $69.45	Facility		$4.63	$7.61	$69.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.75 / $11.74	Professional		$4.17	$7.75	$11.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $11.08 / $11.08	Facility		$11.08	$11.08	$11.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $13.43	Professional		$4.17	$4.17	$13.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $7.63 / $11.99	Facility		$6.50	$7.63	$11.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $10.90 / $17.98	Facility		$5.73	$10.90	$17.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.51	Professional		$4.17	$4.17	$4.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.26 / $8.41	Professional		$4.17	$6.26	$8.41