Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $24.33 / $5,784.46	Facility		$3.57	$24.33	$5,784.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.79 / $17.14	Professional		$4.36	$4.79	$17.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.34	Professional		$4.36	$4.36	$5.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $8.10 / $16.50	Facility		$4.40	$8.10	$16.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $8.72	Professional		$4.36	$4.36	$8.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $25.20 / $39.60	Facility		$7.95	$25.20	$39.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.60 / $21.60	Professional		$18.00	$21.60	$21.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $11.34 / $69.22	Facility		$8.10	$11.34	$69.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.03 / $21.60	Professional		$4.03	$5.03	$21.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $6.54 / $13.08	Professional		$4.62	$6.54	$13.08