Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Facility		$13.13	$13.13	$13.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.03 / $11.50	Professional		$3.62	$4.03	$11.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $9.67 / $9.67	Facility		$9.67	$9.67	$9.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $11.69	Professional		$3.63	$3.63	$11.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $39.11 / $61.47	Facility		$13.44	$39.11	$61.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $39.11 / $92.20	Facility		$9.67	$39.11	$92.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.94	Professional		$3.63	$3.63	$3.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.45 / $7.32	Professional		$3.63	$5.45	$7.32