Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $8.68 / $753.20	Facility		$1.69	$8.68	$753.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.86 / $3.46	Professional		$1.69	$1.86	$3.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.46 / $57.61	Facility		$1.88	$3.46	$57.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $3.72	Professional		$1.86	$1.86	$3.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $8.40 / $13.20	Facility		$2.38	$8.40	$13.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.20 / $7.20	Professional		$6.00	$7.20	$7.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.84 / $19.80	Facility		$2.69	$4.84	$19.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.27 / $6.00	Professional		$1.86	$2.27	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.79 / $5.58	Professional		$1.97	$2.79	$5.58