Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $67.61 / $67.61	Facility		$11.75	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.59	Professional		$10.00	$10.00	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.88 / $25.70	Facility		$10.47	$12.88	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $25.70	Professional		$10.47	$12.88	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.98 / $26.30	Facility		$10.47	$16.98	$26.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $14.45	Professional		$12.02	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.59 / $19.50	Facility		$5.62	$12.59	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $18.20	Professional		$10.47	$10.47	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $28.84	Professional		$10.47	$15.49	$28.84