Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $291.38 / $945.00	Facility		$11.75	$291.38	$945.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $12.12 / $88.78	Professional		$5.05	$12.12	$88.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $16.29	Professional		$5.05	$5.05	$16.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $33.60 / $52.80	Facility		$8.46	$33.60	$52.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $32.54 / $76.73	Facility		$8.64	$32.54	$76.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.49	Professional		$5.05	$5.05	$5.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $57.79	Professional		$7.59	$7.59	$57.79