Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $27.54 / $27.54	Facility		$4.37	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Professional		$3.98	$3.98	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $7.94	Facility		$4.27	$4.27	$7.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $13.80	Professional		$4.27	$4.27	$13.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10.72 / $16.98	Facility		$4.27	$10.72	$16.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $11.22	Facility		$7.94	$7.94	$11.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.57 / $60.26	Professional		$4.27	$4.57	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.31 / $338.84	Professional		$4.27	$6.31	$338.84