Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $49.32 / $269.50	Facility		$5.85	$49.32	$269.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.29 / $6.65	Professional		$1.94	$2.29	$6.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $38.29 / $269.50	Facility		$5.19	$38.29	$269.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $6.28	Professional		$1.95	$1.95	$6.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $9.24 / $14.52	Facility		$3.78	$9.24	$14.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $9.24 / $21.78	Facility		$4.05	$9.24	$21.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.12	Professional		$1.95	$1.95	$2.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.93 / $5.85	Professional		$1.95	$2.93	$5.85