Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $63.70 / $462.09	Facility		$13.02	$63.70	$462.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $10.42 / $12.10	Professional		$5.24	$10.42	$12.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Facility		$14.90	$14.90	$14.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $18.03	Professional		$5.60	$5.60	$18.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $24.05 / $37.79	Facility		$6.16	$24.05	$37.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $24.05 / $56.69	Facility		$6.21	$24.05	$56.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $6.07	Professional		$5.60	$5.60	$6.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.40 / $11.30	Professional		$5.60	$8.40	$11.30