Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $41.16 / $539.00	Facility		$4.94	$41.16	$539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.39 / $3.22	Professional		$1.26	$1.39	$3.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Facility		$3.35	$3.35	$3.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $4.05	Professional		$1.26	$1.26	$4.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $7.06 / $11.09	Facility		$1.89	$7.06	$11.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $7.06 / $16.63	Facility		$2.02	$7.06	$16.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.37	Professional		$1.26	$1.26	$1.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.89 / $3.78	Professional		$1.26	$1.89	$3.78