Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $57.82 / $57.82	Facility		$16.35	$57.82	$57.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.16 / $16.52	Professional		$9.78	$10.16	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $16.52 / $23.62	Facility		$10.40	$16.52	$23.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $5.23 / $5.23	Professional		$3.66	$5.23	$5.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $26.93	Facility		$17.14	$17.14	$26.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $14.69 / $14.69	Professional		$12.24	$14.69	$14.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $16.52 / $24.48	Facility		$10.40	$16.52	$24.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $12.13 / $14.69	Professional		$5.78	$12.13	$14.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $15.30 / $30.60	Professional		$10.81	$15.30	$30.60