Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $10.65 / $37.65	Facility		$6.87	$10.65	$37.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.34 / $14.15	Professional		$5.70	$6.34	$14.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $15.19 / $15.19	Facility		$15.19	$15.19	$15.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $18.39	Professional		$5.71	$5.71	$18.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $11.16 / $17.53	Facility		$9.01	$11.16	$17.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $15.19 / $26.30	Facility		$8.98	$15.19	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $6.19	Professional		$5.71	$5.71	$6.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.57 / $11.52	Professional		$5.71	$8.57	$11.52