Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $22.76 / $51.10	Facility		$22.76	$22.76	$51.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $19.07 / $41.79	Professional		$8.19	$19.07	$41.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $22.92 / $61.19	Professional		$7.91	$22.92	$61.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $24.87 / $58.51	Facility		$10.54	$24.87	$58.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $36.89 / $69.36	Professional		$17.80	$36.89	$69.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $41.30 / $105.79	Professional		$16.80	$41.30	$105.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $24.87 / $58.51	Facility		$10.54	$24.87	$58.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $36.65 / $93.18	Professional		$13.62	$36.65	$93.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $50.07 / $99.08	Professional		$20.03	$50.07	$99.08