Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $23.38 / $48.44	Facility		$23.38	$23.38	$48.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.51 / $33.49	Professional		$13.28	$14.51	$33.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.42 / $81.37	Professional		$10.00	$14.42	$81.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $14.22 / $36.31	Facility		$13.28	$14.22	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.75 / $27.85	Professional		$15.00	$15.75	$27.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $14.22 / $19.60	Facility		$13.28	$14.22	$19.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.02 / $20.02	Professional		$10.00	$20.02	$20.02
United Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $109.50 / $219.00	Professional		$98.55	$109.50	$219.00