Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $26.92 / $26.92	Facility		$4.79	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.47 / $7.94	Facility		$4.07	$4.47	$7.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $10.23	Professional		$4.07	$5.13	$10.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.00 / $15.85	Facility		$5.75	$10.00	$15.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $8.71	Professional		$7.24	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.62 / $10.72	Facility		$4.07	$5.62	$10.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $7.94	Professional		$3.89	$3.89	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.17 / $11.48	Professional		$4.07	$6.17	$11.48