Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $14.13	Professional		$7.08	$7.08	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $14.13	Facility		$7.59	$7.59	$14.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $24.55	Professional		$7.59	$7.59	$24.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $17.38	Facility		$11.22	$11.22	$17.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Facility		$14.13	$14.13	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $60.26	Professional		$6.76	$8.13	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $15.14	Professional		$7.59	$11.48	$15.14