Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $54.08 / $539.00	Facility		$3.73	$54.08	$539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.36 / $5.34	Professional		$2.00	$3.36	$5.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $88.44	Facility		$4.80	$4.80	$88.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $5.83	Professional		$1.81	$1.81	$5.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $6.92 / $10.87	Facility		$2.72	$6.92	$10.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $6.92 / $16.30	Facility		$2.52	$6.92	$16.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.97	Professional		$1.81	$1.81	$1.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.72 / $5.43	Professional		$1.81	$2.72	$5.43