Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $97.50 / $489.80	Facility		$3.58	$97.50	$489.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.52 / $4.26	Professional		$2.29	$2.52	$4.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $4.26 / $24.69	Facility		$2.31	$4.26	$24.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $5.25	Professional		$2.29	$2.29	$5.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $6.92 / $10.87	Facility		$4.05	$6.92	$10.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.93 / $5.93	Professional		$4.94	$5.93	$5.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $4.96 / $16.30	Facility		$2.90	$4.96	$16.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.86 / $5.01	Professional		$2.29	$2.86	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.44 / $6.87	Professional		$2.43	$3.44	$6.87