Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $22.39 / $22.39	Facility		$4.27	$22.39	$22.39
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 $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $11.22	Professional		$3.47	$3.47	$11.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.13 / $5.62	Facility		$3.55	$5.13	$5.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $9.12	Facility		$6.46	$6.46	$9.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.72 / $60.26	Professional		$3.16	$3.72	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.13 / $457.09	Professional		$3.47	$5.13	$457.09