Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $116.71 / $268.02	Facility		$13.76	$116.71	$268.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.72 / $68.34	Professional		$2.47	$2.72	$68.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.99	Professional		$2.47	$2.47	$2.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $4.59 / $233.20	Facility		$2.50	$4.59	$233.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $5.56	Professional		$2.47	$2.47	$5.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $15.27 / $24.00	Facility		$5.47	$15.27	$24.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $13.09 / $13.09	Professional		$10.91	$13.09	$13.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $6.44 / $36.00	Facility		$4.59	$6.44	$36.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.46 / $10.91	Professional		$2.47	$3.46	$10.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.71 / $7.41	Professional		$2.62	$3.71	$7.41