Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $41.69	Facility		$24.55	$30.90	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.45 / $114.82	Professional		$5.01	$14.45	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.50	Professional		$16.60	$16.60	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $41.69	Facility		$21.38	$33.11	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $97.72	Professional		$12.88	$28.18	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $47.86	Professional		$27.54	$27.54	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $46.77	Facility		$33.11	$33.11	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $60.26	Professional		$12.02	$16.98	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $50.12	Professional		$17.38	$33.11	$50.12