Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $3,548.13 / $3,548.13	Facility		$17.38	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $28.84	Professional		$7.08	$7.08	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $19.95	Facility		$7.59	$7.59	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $30.90	Professional		$7.59	$7.59	$30.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $47.86 / $75.86	Facility		$7.59	$47.86	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Facility		$14.13	$14.13	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.13 / $60.26	Professional		$6.92	$8.13	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $1,258.93	Professional		$7.59	$11.22	$1,258.93