Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $26.34 / $140.51	Facility		$26.34	$26.34	$140.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $21.08	Professional		$14.05	$14.05	$21.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Facility		$30.14	$30.14	$30.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $28.50	Professional		$13.17	$13.17	$28.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $31.81	Facility		$20.23	$20.23	$31.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $28.92 / $47.72	Facility		$20.23	$28.92	$47.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $28.50	Professional		$14.75	$14.75	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.52 / $15.79	Professional		$13.29	$13.52	$15.79