Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.75 / $269.15	Facility		$5.75	$11.75	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.34 / $6.46	Professional		$2.00	$2.34	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $6.31 / $537.03	Facility		$2.40	$6.31	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $7.59	Professional		$2.40	$2.40	$7.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $14.79 / $23.44	Facility		$3.72	$14.79	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $6.31	Facility		$4.47	$4.47	$6.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $60.26	Professional		$2.57	$2.57	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.55 / $40.74	Professional		$2.40	$3.55	$40.74