Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.90 / $60.26	Facility		$21.38	$38.90	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.85	Professional		$3.98	$3.98	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.25 / $6.61	Professional		$2.57	$5.25	$6.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.68 / $16.60	Facility		$2.63	$4.68	$16.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $15.85	Professional		$4.90	$4.90	$15.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $18.20 / $19.95	Facility		$4.90	$18.20	$19.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $11.22	Professional		$9.12	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.98 / $7.76	Facility		$2.63	$3.98	$7.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.90 / $5.75	Professional		$2.95	$4.90	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $10.00 / $14.79	Professional		$2.75	$10.00	$14.79