Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $53.06 / $530.60	Facility		$2.33	$53.06	$530.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.24 / $5.08	Professional		$2.02	$2.24	$5.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Facility		$5.38	$5.38	$5.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $6.50	Professional		$2.02	$2.02	$6.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $6.83 / $10.74	Facility		$3.01	$6.83	$10.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $10.68 / $25.18	Facility		$3.23	$10.68	$25.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.20	Professional		$2.02	$2.02	$2.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $3.03 / $4.07	Professional		$2.02	$3.03	$4.07