Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $12.04 / $12.68	Facility		$3.41	$12.04	$12.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.24 / $14.37	Professional		$1.88	$2.24	$14.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.31	Professional		$1.88	$1.88	$2.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $3.50 / $7.26	Facility		$1.90	$3.50	$7.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $4.70	Professional		$1.88	$1.88	$4.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $26.88 / $42.24	Facility		$2.72	$26.88	$42.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $23.04 / $23.04	Professional		$19.20	$23.04	$23.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $4.90 / $38.40	Facility		$3.50	$4.90	$38.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $6.53 / $23.04	Professional		$1.88	$6.53	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.82 / $5.64	Professional		$1.99	$2.82	$5.64