Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $22.09 / $78.09	Facility		$16.68	$22.09	$78.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $13.51 / $22.85	Professional		$12.27	$13.51	$22.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.07	Professional		$12.28	$12.28	$15.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $22.85 / $34.32	Facility		$12.41	$22.85	$34.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $24.56	Professional		$12.28	$12.28	$24.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $43.68 / $68.64	Facility		$25.86	$43.68	$68.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $37.44 / $37.44	Professional		$31.20	$37.44	$37.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $22.85 / $62.40	Facility		$12.28	$22.85	$62.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $18.79 / $34.32	Professional		$12.28	$18.79	$34.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $18.42 / $36.84	Professional		$13.02	$18.42	$36.84