Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $26.92 / $58.88	Facility		$9.12	$26.92	$58.88
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 $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $10.72	Facility		$8.91	$8.91	$10.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $28.84	Professional		$8.91	$8.91	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.79 / $22.91	Facility		$8.91	$14.79	$22.91
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 $16.60 / $16.60 / $23.99	Facility		$16.60	$16.60	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.77 / $60.26	Professional		$8.91	$9.77	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $18.20	Professional		$8.91	$13.49	$18.20