Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $49.05 / $92.46	Facility		$4.73	$49.05	$92.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.79 / $10.56	Professional		$2.64	$3.79	$10.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Facility		$5.42	$5.42	$5.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $6.57	Professional		$2.04	$2.04	$6.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $5.88 / $9.24	Facility		$3.22	$5.88	$9.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $6.89 / $16.23	Facility		$3.28	$6.89	$16.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.21	Professional		$2.04	$2.04	$2.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.06 / $4.12	Professional		$2.04	$3.06	$4.12