Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $20.30	Facility		$20.30	$20.30	$20.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.14 / $32.10	Professional		$17.01	$23.14	$32.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $30.62	Professional		$9.92	$9.92	$30.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $24.31 / $73.50	Facility		$21.32	$24.31	$73.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $23.09 / $72.93	Professional		$23.09	$23.09	$72.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $23.74 / $3,495.87	Facility		$23.74	$23.74	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $23.74 / $23.74	Professional		$17.39	$23.74	$23.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $23.14 / $71.23	Facility		$21.32	$23.14	$71.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.22 / $28.49	Professional		$17.03	$20.22	$28.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.24 / $60.66	Professional		$11.75	$14.24	$60.66