Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $75.50 / $75.50	Facility		$75.50	$75.50	$75.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $12.78 / $21.57	Professional		$9.99	$12.78	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $21.57 / $62.55	Facility		$13.58	$21.57	$62.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $4.75	Professional		$3.33	$3.33	$4.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $19.18	Professional		$15.98	$15.98	$19.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $21.57 / $30.20	Facility		$13.26	$21.57	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $11.55 / $16.05	Professional		$5.26	$11.55	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.42 / $8.60	Professional		$1.81	$2.42	$8.60