Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $12.74 / $388.82	Facility		$3.60	$12.74	$388.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.68 / $14.29	Professional		$4.57	$7.68	$14.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $9.42	Professional		$7.68	$7.68	$9.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.29 / $139.91	Facility		$7.76	$14.29	$139.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $15.36	Professional		$7.68	$7.68	$15.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $36.11 / $56.76	Facility		$9.81	$36.11	$56.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $30.96 / $30.96	Professional		$25.80	$30.96	$30.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $17.05 / $85.14	Facility		$12.37	$17.05	$85.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.11 / $25.80	Professional		$7.68	$9.11	$25.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.52 / $23.04	Professional		$8.14	$11.52	$23.04