Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $398.11 / $501.19	Facility		$33.88	$398.11	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.91	Professional		$5.01	$5.01	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.13 / $9.33	Facility		$3.39	$5.13	$9.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $12.88	Professional		$5.13	$6.46	$12.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.12 / $14.13	Facility		$7.94	$9.12	$14.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $7.76	Professional		$6.46	$7.76	$7.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $5.50 / $9.55	Facility		$1.41	$5.50	$9.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $8.91	Professional		$5.13	$5.13	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $14.45	Professional		$5.13	$7.76	$14.45