Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $34.15 / $58.03	Facility		$20.56	$34.15	$58.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $17.18	Professional		$16.57	$16.57	$17.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $5.25 / $6.56	Professional		$2.60	$5.25	$6.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $4.01 / $7.70	Facility		$2.62	$4.01	$7.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $19.80	Professional		$4.95	$4.95	$19.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $18.32 / $19.80	Facility		$17.32	$18.32	$19.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $9.17 / $24.44	Professional		$4.46	$9.17	$24.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $4.01 / $9.06	Facility		$2.62	$4.01	$9.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.80 / $13.61	Professional		$4.95	$5.80	$13.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $9.90 / $14.94	Professional		$2.75	$9.90	$14.94