Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $40.08 / $83.04	Facility		$40.08	$40.08	$83.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $15.84 / $24.00	Professional		$8.00	$15.84	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $81.30 / $114.99	Professional		$11.33	$81.30	$114.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $24.00 / $24.00	Facility		$12.34	$24.00	$24.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $16.28 / $61.00	Professional		$12.34	$16.28	$61.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $24.00 / $34.32	Facility		$12.34	$24.00	$34.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $40.04 / $114.99	Professional		$12.34	$40.04	$114.99