Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12,882.50 / $12,882.50	Facility		$4.27	$12,882.50	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $7.08	Professional		$3.02	$3.02	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $10.23	Facility		$3.89	$3.89	$10.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $12.59	Professional		$3.89	$3.89	$12.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.46 / $10.23	Facility		$3.89	$6.46	$10.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $10.23	Facility		$7.24	$7.24	$10.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.27 / $60.26	Professional		$3.89	$4.27	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $1,096.48	Professional		$3.89	$5.89	$1,096.48