Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $144.54	Facility		$12.80	$12.80	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $10.24 / $10.24	Professional		$2.14	$10.24	$10.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $14.46 / $23.87	Professional		$5.08	$14.46	$23.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $10.24 / $14.40	Facility		$7.80	$10.24	$14.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $32.28	Professional		$10.22	$10.22	$32.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.51 / $3,495.87	Facility		$10.51	$10.51	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.51 / $10.51	Professional		$7.69	$10.51	$10.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $10.24 / $14.40	Facility		$8.94	$10.24	$14.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $10.51 / $22.25	Professional		$7.67	$10.51	$22.25
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.61 / $26.82	Professional		$5.20	$5.61	$26.82