Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $58.22 / $76.30	Facility		$37.50	$58.22	$76.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $30.00	Professional		$20.00	$22.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $25.18	Professional		$17.62	$17.62	$25.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $32.94 / $51.77	Facility		$32.94	$32.94	$51.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $42.90 / $77.65	Facility		$32.94	$42.90	$77.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $17.62 / $25.18	Professional		$13.92	$17.62	$25.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $22.35 / $23.53	Professional		$22.35	$22.35	$23.53