Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $93.33 / $93.33	Facility		$15.49	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $35.48	Facility		$14.13	$16.98	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $35.48	Professional		$14.13	$17.78	$35.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $37.15	Facility		$14.13	$23.44	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $19.95	Professional		$16.60	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.62 / $26.30	Facility		$14.13	$18.62	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $24.55	Professional		$14.13	$14.13	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $39.81	Professional		$14.13	$21.38	$39.81