Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $21.88 / $21.88	Facility		$3.63	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.03	Professional		$3.02	$3.02	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $6.17	Facility		$3.31	$3.31	$6.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $10.72	Professional		$3.31	$3.31	$10.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $6.03 / $9.55	Facility		$3.31	$6.03	$9.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $8.91	Facility		$6.17	$6.17	$8.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.63 / $60.26	Professional		$3.31	$3.63	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.01 / $6.76	Professional		$3.31	$5.01	$6.76