Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $49.05 / $150.00	Facility		$3.31	$49.05	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.07 / $6.62	Professional		$2.87	$5.07	$6.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Facility		$7.25	$7.25	$7.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $8.78	Professional		$2.73	$2.73	$8.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $9.02 / $14.19	Facility		$3.33	$9.02	$14.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $9.02 / $21.29	Facility		$4.30	$9.02	$21.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.96	Professional		$2.73	$2.73	$2.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.09 / $5.51	Professional		$2.73	$4.09	$5.51