Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $295.58 / $361.41	Facility		$2.57	$295.58	$361.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.94 / $12.37	Professional		$1.75	$1.94	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.15	Professional		$1.75	$1.75	$2.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $3.26 / $225.66	Facility		$1.77	$3.26	$225.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.50	Professional		$1.75	$1.75	$3.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $10.09 / $15.86	Facility		$2.98	$10.09	$15.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $8.65 / $8.65	Professional		$7.21	$8.65	$8.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.55 / $24.29	Facility		$3.26	$4.55	$24.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.58 / $7.36	Professional		$1.75	$2.58	$7.36
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.63 / $5.25	Professional		$1.86	$2.63	$5.25