Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.92 / $16.98	Facility		$4.79	$6.92	$16.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $5.01 / $7.94	Facility		$2.09	$5.01	$7.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $6.92	Facility		$4.79	$4.79	$6.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.47 / $6.03	Professional		$2.95	$4.47	$6.03