Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $12.88	Professional		$5.01	$8.91	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $16.22 / $33.11	Facility		$7.41	$16.22	$33.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $60.26	Professional		$5.01	$10.96	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $3,467.37	Facility		$48.98	$48.98	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $48.98 / $66.07	Professional		$22.39	$48.98	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $31.62	Facility		$9.77	$16.22	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $60.26	Professional		$10.23	$12.02	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $36.31	Professional		$8.71	$8.71	$36.31