Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $285.87 / $862.02	Facility		$4.05	$285.87	$862.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $4.05	Professional		$1.73	$1.73	$4.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $5.60	Professional		$1.74	$1.74	$5.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $8.83 / $13.88	Facility		$2.75	$8.83	$13.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $8.83 / $20.82	Facility		$2.77	$8.83	$20.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.89	Professional		$1.74	$1.74	$1.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.61 / $3.51	Professional		$1.74	$2.61	$3.51