Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $52.48	Facility		$14.13	$14.13	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.77	Professional		$7.94	$7.94	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $15.85	Facility		$8.13	$8.13	$15.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $20.42	Professional		$8.13	$10.00	$20.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.38 / $33.88	Facility		$11.75	$21.38	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Professional		$15.14	$18.20	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.77 / $18.62	Facility		$5.13	$9.77	$18.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $14.45	Professional		$8.13	$8.13	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $22.91	Professional		$8.13	$12.30	$22.91