Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $45.71 / $371.54	Facility		$6.03	$45.71	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.03	Professional		$3.02	$3.02	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $6.31	Facility		$3.39	$3.39	$6.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $10.96	Professional		$3.39	$3.39	$10.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $15.85 / $25.12	Facility		$5.89	$15.85	$25.12
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 $6.31 / $6.31 / $9.12	Facility		$6.31	$6.31	$9.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.72 / $60.26	Professional		$3.39	$3.72	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $275.42	Professional		$3.39	$5.13	$275.42