Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $20.54 / $38.11	Facility		$10.78	$20.54	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $9.05 / $15.16	Professional		$8.15	$9.05	$15.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.00	Professional		$8.15	$8.15	$10.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $15.16 / $50.04	Facility		$5.49	$15.16	$50.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $20.38	Professional		$8.15	$8.15	$20.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $63.69 / $100.08	Facility		$7.07	$63.69	$100.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $54.59 / $54.59	Professional		$45.49	$54.59	$54.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $16.13 / $63.97	Facility		$8.15	$16.13	$63.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.64 / $45.49	Professional		$8.15	$8.64	$45.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $12.23 / $23.23	Professional		$8.64	$12.23	$23.23