Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $208.30 / $995.88	Facility		$18.82	$208.30	$995.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.35 / $247.96	Professional		$3.02	$3.35	$247.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Facility		$8.02	$8.02	$8.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $9.72	Professional		$3.02	$3.02	$9.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $12.60 / $19.80	Facility		$5.76	$12.60	$19.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $15.75 / $37.13	Facility		$5.12	$15.75	$37.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.28	Professional		$3.02	$3.02	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.53 / $6.09	Professional		$3.02	$4.53	$6.09