Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $19.47 / $68.84	Facility		$11.43	$19.47	$68.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $20.37 / $25.57	Professional		$10.68	$20.37	$25.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $29.13	Facility		$29.13	$29.13	$29.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $35.26	Professional		$10.95	$10.95	$35.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $18.34 / $28.82	Facility		$15.57	$18.34	$28.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $25.70 / $42.40	Facility		$15.23	$25.70	$42.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $11.88	Professional		$10.95	$10.95	$11.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $16.43 / $22.09	Professional		$10.95	$16.43	$22.09