Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $23.38	Facility		$6.61	$6.61	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $10.38	Facility		$6.61	$6.61	$10.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.44 / $15.58	Facility		$6.61	$9.44	$15.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.20 / $8.33	Professional		$4.13	$6.20	$8.33