Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $58.50 / $95.40	Facility		$6.40	$58.50	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.05 / $7.43	Professional		$2.18	$4.05	$7.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $35.72 / $68.59	Facility		$5.81	$35.72	$68.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $7.02	Professional		$2.18	$2.18	$7.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.90 / $6.91	Facility		$4.28	$4.90	$6.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $5.81 / $10.10	Facility		$4.28	$5.81	$10.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.37	Professional		$2.18	$2.18	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.27 / $4.40	Professional		$2.18	$3.27	$4.40