Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.05 / $61.66	Facility		$17.78	$19.05	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $16.98	Professional		$8.91	$8.91	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $11.48	Facility		$9.55	$9.55	$11.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $30.90	Professional		$9.55	$9.55	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.77 / $15.49	Facility		$6.03	$9.77	$15.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $25.70	Facility		$17.78	$17.78	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $60.26	Professional		$10.47	$10.47	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $69.18	Professional		$9.55	$14.45	$69.18