Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $37.15 / $37.15	Facility		$6.46	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.92	Professional		$5.01	$5.01	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.08 / $14.45	Facility		$5.75	$7.08	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $14.45	Professional		$5.75	$7.08	$14.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.12 / $14.13	Facility		$5.75	$9.12	$14.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $7.76	Professional		$6.46	$7.76	$7.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.59 / $11.22	Facility		$5.75	$7.59	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $10.00	Professional		$5.75	$5.75	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.51 / $16.22	Professional		$5.75	$8.51	$16.22