Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $12.02	Professional		$6.03	$6.03	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $8.13	Facility		$6.76	$6.76	$8.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $21.38	Professional		$6.76	$6.76	$21.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $173.78	Facility		$109.65	$109.65	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $17.78	Facility		$12.59	$12.59	$17.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $60.26	Professional		$7.24	$8.32	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.00 / $1,949.84	Professional		$6.76	$10.00	$1,949.84