Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $269.15 / $346.74	Facility		$31.62	$269.15	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $9.12	Professional		$3.98	$4.90	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $269.15	Facility		$4.79	$4.79	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $15.49	Professional		$4.79	$4.79	$15.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $17.38 / $26.92	Facility		$7.59	$17.38	$26.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $12.88	Facility		$8.91	$8.91	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.25 / $60.26	Professional		$4.79	$5.25	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.24 / $977.24	Professional		$4.79	$7.24	$977.24