Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $21.28 / $75.22	Facility		$12.48	$21.28	$75.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $12.81 / $26.93	Professional		$11.53	$12.81	$26.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $30.69 / $30.69	Facility		$30.69	$30.69	$30.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $37.15	Professional		$11.54	$11.54	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $19.14 / $30.10	Facility		$17.36	$19.14	$30.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $27.36 / $45.14	Facility		$17.39	$27.36	$45.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $12.51	Professional		$11.54	$11.54	$12.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $17.30 / $23.28	Professional		$11.54	$17.30	$23.28