Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Facility		$22.17	$22.17	$22.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.19 / $29.29	Professional		$12.88	$22.19	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $29.63	Professional		$9.51	$9.51	$29.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $23.32 / $55.84	Facility		$20.44	$23.32	$55.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $22.15 / $69.95	Professional		$22.15	$22.15	$69.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $3,495.87	Facility		$22.77	$22.77	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.77 / $22.77	Professional		$16.67	$22.77	$22.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $22.19 / $54.12	Facility		$20.44	$22.19	$54.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.38 / $27.32	Professional		$16.32	$19.38	$27.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.66 / $58.14	Professional		$11.63	$13.66	$58.14