Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $33.33 / $117.85	Facility		$18.43	$33.33	$117.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.29 / $33.63	Professional		$18.07	$18.29	$33.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $48.09 / $48.09	Facility		$48.09	$48.09	$48.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $58.22	Professional		$18.07	$18.07	$58.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $29.29 / $46.02	Facility		$26.82	$29.29	$46.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $40.61 / $67.02	Facility		$26.16	$40.61	$67.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $19.62	Professional		$18.07	$18.07	$19.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.12 / $36.47	Professional		$18.07	$27.12	$36.47