Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $77.39 / $135.24	Facility		$3.60	$77.39	$135.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $4.57 / $4.72	Professional		$1.05	$4.57	$4.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Facility		$6.75	$6.75	$6.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $8.18	Professional		$2.54	$2.54	$8.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $14.28 / $22.44	Facility		$2.85	$14.28	$22.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $14.28 / $33.65	Facility		$1.41	$14.28	$33.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.75	Professional		$2.54	$2.54	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.81 / $163.83	Professional		$2.54	$3.81	$163.83