Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $9.84 / $34.79	Facility		$5.47	$9.84	$34.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $9.90 / $12.45	Professional		$5.40	$9.90	$12.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Facility		$14.16	$14.16	$14.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $17.13	Professional		$5.32	$5.32	$17.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $9.03 / $14.21	Facility		$7.86	$9.03	$14.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $12.44 / $20.53	Facility		$7.63	$12.44	$20.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.77	Professional		$5.32	$5.32	$5.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $7.98 / $10.73	Professional		$5.32	$7.98	$10.73