Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $18.64 / $65.94	Facility		$10.02	$18.64	$65.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.86 / $23.62	Professional		$10.23	$18.86	$23.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.97 / $26.97 / $26.97	Facility		$26.97	$26.97	$26.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $32.65	Professional		$10.14	$10.14	$32.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $18.62 / $29.26	Facility		$14.75	$18.62	$29.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $25.36 / $41.84	Facility		$14.75	$25.36	$41.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $11.01	Professional		$10.14	$10.14	$11.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $15.21 / $20.45	Professional		$10.14	$15.21	$20.45