Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $11.09 / $39.20	Facility		$6.42	$11.09	$39.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.76 / $14.03	Professional		$5.76	$5.76	$14.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $15.36 / $15.36	Facility		$15.36	$15.36	$15.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $18.57	Professional		$5.77	$5.77	$18.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $26.81 / $42.13	Facility		$9.31	$26.81	$42.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $26.81 / $63.19	Facility		$7.73	$26.81	$63.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $6.27	Professional		$5.77	$5.77	$6.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.66 / $11.64	Professional		$5.77	$8.66	$11.64