Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $25.12 / $25.12	Facility		$7.08	$25.12	$25.12
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 $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $12.30	Professional		$3.80	$3.80	$12.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $16.60 / $25.70	Facility		$3.39	$16.60	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $10.23	Facility		$7.08	$7.08	$10.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.17 / $60.26	Professional		$3.55	$4.17	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.75 / $416.87	Professional		$3.80	$5.75	$416.87