Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.09 / $5.44	Professional		$2.93	$3.09	$5.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.59	Professional		$2.93	$2.93	$3.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $5.44 / $10.79	Facility		$2.96	$5.44	$10.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.52 / $7.33	Professional		$2.93	$3.52	$7.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $11.15	Professional		$9.28	$9.28	$11.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $5.44 / $10.22	Facility		$2.93	$5.44	$10.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.65 / $9.28	Professional		$2.93	$3.65	$9.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.40 / $7.43	Professional		$2.93	$4.40	$7.43