Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $51.90	Facility		$25.05	$25.05	$51.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.00 / $26.58	Professional		$13.28	$15.00	$26.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.42 / $39.79	Professional		$10.00	$14.42	$39.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.00 / $28.97	Facility		$13.28	$15.00	$28.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.75 / $13.75	Professional		$11.25	$13.75	$13.75
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 / $15.00 / $21.00	Facility		$13.28	$15.00	$21.00
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 $85.93 / $87.92 / $175.84	Professional		$85.93	$87.92	$175.84