Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $52.65 / $114.39	Facility		$25.62	$52.65	$114.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.38 / $95.20	Professional		$8.11	$11.38	$95.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.73 / $61.09	Professional		$7.48	$10.73	$61.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $17.43 / $28.70	Facility		$10.54	$17.43	$28.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $22.66 / $36.89	Professional		$11.40	$22.66	$36.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $30.00 / $43.92	Professional		$13.20	$30.00	$43.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $16.45 / $28.70	Facility		$8.94	$16.45	$28.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $23.64 / $48.00	Professional		$10.73	$23.64	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $23.72 / $47.44	Professional		$11.67	$23.72	$47.44