Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $12.31 / $43.51	Facility		$6.96	$12.31	$43.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.76 / $15.57	Professional		$6.75	$6.76	$15.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $21.80	Professional		$6.77	$6.77	$21.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $31.22 / $49.06	Facility		$10.11	$31.22	$49.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $30.10 / $70.95	Facility		$10.06	$30.10	$70.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $7.35	Professional		$6.77	$6.77	$7.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.16 / $13.66	Professional		$6.77	$10.16	$13.66