Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $48.21 / $64.59	Facility		$19.28	$48.21	$64.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $23.21 / $25.54	Professional		$15.43	$23.21	$25.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $21.55 / $21.55	Facility		$21.55	$21.55	$21.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $74.77	Professional		$23.22	$23.22	$74.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $32.94 / $51.77	Facility		$32.94	$32.94	$51.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $32.94 / $77.65	Facility		$21.55	$32.94	$77.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $25.19	Professional		$22.95	$22.95	$25.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $20.87 / $25.14	Professional		$20.87	$20.87	$25.14