Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $25.70 / $97.72	Facility		$3.02	$25.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.80	Professional		$2.00	$2.00	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.69 / $4.79	Facility		$2.57	$2.69	$4.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $6.46	Professional		$2.57	$3.24	$6.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.62 / $8.91	Facility		$3.39	$5.62	$8.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.79 / $4.79	Professional		$4.07	$4.79	$4.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.31 / $5.01	Facility		$2.14	$3.31	$5.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.57	Professional		$2.69	$2.69	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.89 / $7.24	Professional		$2.57	$3.89	$7.24