Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $66.07	Facility		$31.62	$31.62	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $26.92	Professional		$10.72	$15.14	$26.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $24.55	Facility		$15.85	$18.62	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $26.30	Facility		$15.85	$18.62	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $79.43	Professional		$15.14	$26.92	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $117.49	Professional		$48.98	$53.70	$117.49