Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $11.04 / $143.34	Facility		$5.78	$11.04	$143.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $12.70 / $62.54	Professional		$3.17	$12.70	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Facility		$18.16	$18.16	$18.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $21.99	Professional		$6.83	$6.83	$21.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $27.51 / $43.23	Facility		$10.85	$27.51	$43.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $27.51 / $64.84	Facility		$12.19	$27.51	$64.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $7.41	Professional		$6.83	$6.83	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $10.25 / $13.78	Professional		$6.83	$10.25	$13.78