Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $9.14 / $32.31	Facility		$6.42	$9.14	$32.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.76 / $7.98	Professional		$4.29	$4.76	$7.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $7.98 / $11.17	Facility		$4.33	$7.98	$11.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $9.65	Professional		$4.29	$4.29	$9.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.29 / $20.88	Facility		$8.32	$13.29	$20.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.39 / $11.39	Professional		$9.49	$11.39	$11.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $7.98 / $12.64	Facility		$4.29	$7.98	$12.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.85 / $9.93	Professional		$4.29	$6.85	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.44 / $10.88	Professional		$4.29	$6.44	$10.88