Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $18.91 / $57.78	Facility		$3.19	$18.91	$57.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.89 / $8.18	Professional		$3.55	$6.89	$8.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $3.70	Professional		$3.70	$3.70	$3.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Facility		$9.85	$9.85	$9.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $11.91	Professional		$3.70	$3.70	$11.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $9.23 / $14.50	Facility		$5.17	$9.23	$14.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $9.85 / $17.64	Facility		$4.88	$9.85	$17.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $4.01	Professional		$3.70	$3.70	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $5.55 / $7.46	Professional		$3.70	$5.55	$7.46