Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $8.81 / $31.15	Facility		$6.74	$8.81	$31.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.31 / $11.17	Professional		$4.79	$5.31	$11.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $15.42	Professional		$4.79	$4.79	$15.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $16.80 / $26.40	Facility		$9.90	$16.80	$26.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $16.80 / $39.60	Facility		$12.22	$16.80	$39.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.20	Professional		$4.79	$4.79	$5.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.19 / $9.66	Professional		$4.79	$7.19	$9.66