Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $36.31 / $45.71	Facility		$4.57	$36.31	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $10.00	Professional		$5.01	$5.01	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $10.23	Facility		$5.50	$5.50	$10.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $17.78	Professional		$5.50	$5.50	$17.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.05 / $30.20	Facility		$7.59	$19.05	$30.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $14.79	Facility		$10.23	$10.23	$14.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $60.26	Professional		$6.03	$6.17	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.32 / $47.86	Professional		$5.50	$8.32	$47.86