Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $389.15 / $444.70	Facility		$5.45	$389.15	$444.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.44 / $10.38	Professional		$3.12	$3.44	$10.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.84	Professional		$3.13	$3.13	$3.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.82 / $187.25	Facility		$3.16	$5.82	$187.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $6.39	Professional		$3.13	$3.13	$6.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $17.91 / $28.14	Facility		$4.32	$17.91	$28.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.35 / $15.35	Professional		$12.79	$15.35	$15.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $8.15 / $187.25	Facility		$4.98	$8.15	$187.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.59 / $12.79	Professional		$3.13	$3.59	$12.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.70 / $9.52	Professional		$3.32	$4.70	$9.52