Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $1,431.00 / $1,526.40	Facility		$67.00	$1,431.00	$1,526.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $2.74 / $2.74	Professional		$2.74	$2.74	$2.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $3.92 / $3.92	Facility		$3.92	$3.92	$3.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $18.05	Professional		$12.64	$12.64	$18.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $2.84 / $4.47	Facility		$2.84	$2.84	$4.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $3.92 / $6.60	Facility		$2.80	$3.92	$6.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $18.05	Professional		$1.73	$1.73	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.54 / $3.41	Professional		$1.69	$2.54	$3.41