Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $58.50 / $261.26	Facility		$1.77	$58.50	$261.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.22 / $44.52	Professional		$1.10	$1.22	$44.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $26.60 / $68.59	Facility		$2.92	$26.60	$68.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $3.54	Professional		$1.10	$1.10	$3.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $3.75 / $5.90	Facility		$1.28	$3.75	$5.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $3.57 / $8.42	Facility		$1.26	$3.57	$8.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.20	Professional		$1.10	$1.10	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.65 / $2.22	Professional		$1.10	$1.65	$2.22