Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $89.18 / $428.63	Facility		$5.01	$89.18	$428.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.00 / $5.07	Professional		$2.73	$3.00	$5.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.34	Professional		$2.73	$2.73	$3.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.07 / $14.51	Facility		$2.75	$5.07	$14.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $6.14	Professional		$2.73	$2.73	$6.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $18.47 / $29.02	Facility		$4.32	$18.47	$29.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $15.83 / $15.83	Professional		$13.19	$15.83	$15.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $7.10 / $18.47	Facility		$5.07	$7.10	$18.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.94 / $13.19	Professional		$2.73	$3.94	$13.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.09 / $8.19	Professional		$2.89	$4.09	$8.19