Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Facility		$20.71	$20.71	$20.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $32.35 / $35.58	Professional		$16.57	$32.35	$35.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Professional		$35.25	$35.25	$35.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $23.08	Facility		$23.08	$23.08	$23.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $31.47 / $31.47	Professional		$20.95	$31.47	$31.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $51.16 / $80.39	Facility		$51.16	$51.16	$80.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $49.70 / $117.15	Facility		$23.08	$49.70	$117.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $20.95 / $35.25	Professional		$15.66	$20.95	$35.25
United Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $31.47 / $37.61	Professional		$31.47	$31.47	$37.61