Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.62 / $1,062.21 / $1,062.21	Facility		$543.62	$1,062.21	$1,062.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $4.75 / $6.25	Facility		$2.59	$4.75	$6.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $12.39	Facility		$7.88	$7.88	$12.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $6.19 / $6.76	Professional		$5.63	$6.19	$6.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.37 / $22.42	Facility		$3.24	$4.37	$22.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.65 / $11.21	Professional		$2.75	$5.65	$11.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.05 / $5.45	Professional		$2.84	$4.05	$5.45