Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $68.45 / $193.04	Facility		$9.44	$68.45	$193.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $11.96	Professional		$4.78	$4.78	$11.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $30.40 / $41.37	Facility		$12.73	$30.40	$41.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $15.39	Professional		$4.78	$4.78	$15.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $11.75 / $18.46	Facility		$6.72	$11.75	$18.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $12.73 / $27.69	Facility		$6.77	$12.73	$27.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $5.19	Professional		$4.78	$4.78	$5.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $7.17 / $9.64	Professional		$4.78	$7.17	$9.64