Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $47.44 / $94.00	Facility		$8.49	$47.44	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.40 / $14.20	Professional		$6.49	$8.40	$14.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $7.63	Professional		$7.63	$7.63	$7.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $14.20 / $41.18	Facility		$4.80	$14.20	$41.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $19.07	Professional		$7.63	$7.63	$19.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.27 / $25.56	Facility		$16.27	$16.27	$25.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $13.94 / $13.94	Professional		$11.62	$13.94	$13.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $14.20 / $22.34	Facility		$4.80	$14.20	$22.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $11.19 / $13.40	Professional		$7.63	$11.19	$13.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $11.45 / $19.35	Professional		$7.63	$11.45	$19.35