Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $41.65 / $147.25	Facility		$30.99	$41.65	$147.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $39.96 / $69.59	Professional		$22.84	$39.96	$69.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Facility		$57.14	$57.14	$57.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $69.17	Professional		$21.48	$21.48	$69.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $85.60 / $134.51	Facility		$36.19	$85.60	$134.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $85.60 / $201.76	Facility		$32.65	$85.60	$201.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $23.31	Professional		$21.48	$21.48	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $32.22 / $43.33	Professional		$21.48	$32.22	$43.33