Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $20.55 / $92.78	Facility		$11.47	$20.55	$92.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $17.94 / $30.18	Professional		$10.71	$17.94	$30.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Facility		$25.65	$25.65	$25.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $31.04	Professional		$9.64	$9.64	$31.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $34.45 / $54.14	Facility		$18.98	$34.45	$54.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $34.45 / $81.20	Facility		$17.62	$34.45	$81.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $10.47	Professional		$9.64	$9.64	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $66.50	Professional		$14.46	$14.46	$66.50