Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $52.48 / $52.48	Facility		$8.51	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.55	Professional		$7.94	$7.94	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.55 / $19.95	Facility		$7.94	$9.55	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $19.95	Professional		$7.94	$9.55	$19.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.88 / $19.95	Facility		$7.94	$12.88	$19.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $10.96	Professional		$9.12	$10.96	$10.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.72 / $14.79	Facility		$7.94	$10.72	$14.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $13.49	Professional		$7.94	$7.94	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $22.39	Professional		$7.94	$12.02	$22.39