Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $213.97 / $849.38	Facility		$7.01	$213.97	$849.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.32 / $30.06	Professional		$3.02	$3.32	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.70	Professional		$3.02	$3.02	$3.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $5.61 / $15.78	Facility		$3.05	$5.61	$15.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.04	Professional		$3.02	$3.02	$6.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.84 / $18.61	Facility		$5.01	$11.84	$18.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.15 / $10.15	Professional		$8.46	$10.15	$10.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $5.61 / $15.78	Facility		$4.93	$5.61	$15.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.85 / $8.40	Professional		$3.02	$3.85	$8.40
United Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.53 / $9.06	Professional		$3.20	$4.53	$9.06