Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $54.95 / $54.95	Facility		$4.27	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $15.14	Professional		$7.94	$7.94	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $26.92	Professional		$8.32	$8.32	$26.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.61 / $10.47	Facility		$5.75	$6.61	$10.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $22.39	Facility		$15.49	$15.49	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.12 / $60.26	Professional		$8.32	$9.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $61.66	Professional		$8.32	$12.59	$61.66