Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $10.02 / $35.46	Facility		$9.50	$10.02	$35.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.21 / $12.71	Professional		$4.69	$5.21	$12.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $15.10	Professional		$4.69	$4.69	$15.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $30.30 / $47.61	Facility		$9.22	$30.30	$47.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $30.30 / $71.41	Facility		$10.70	$30.30	$71.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.09	Professional		$4.69	$4.69	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $7.04 / $9.46	Professional		$4.69	$7.04	$9.46