Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.85	Professional		$8.91	$10.00	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $56.23	Facility		$16.22	$22.91	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $60.26	Professional		$8.91	$15.85	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $17.78 / $28.18	Facility		$3.55	$17.78	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $22.91	Facility		$16.22	$16.22	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $60.26	Professional		$10.23	$20.89	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $707.95	Professional		$10.00	$15.14	$707.95