Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $14.46 / $26.31	Professional		$13.94	$14.46	$26.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $23.76	Professional		$6.20	$6.20	$23.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $15.20 / $60.36	Facility		$13.31	$15.20	$60.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $45.60	Professional		$14.44	$14.44	$45.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $14.84 / $3,495.87	Facility		$14.84	$14.84	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $14.84 / $14.84	Professional		$10.86	$14.84	$14.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $14.46 / $58.49	Facility		$13.31	$14.46	$58.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.62 / $17.80	Professional		$10.64	$12.62	$17.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.57 / $37.86	Professional		$7.34	$7.57	$37.86