Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $76.02 / $305.77	Facility		$21.50	$76.02	$305.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $21.13 / $87.95	Professional		$11.79	$21.13	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $36.58	Professional		$11.36	$11.36	$36.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $58.80 / $92.40	Facility		$22.50	$58.80	$92.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $58.80 / $138.60	Facility		$30.22	$58.80	$138.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $12.33	Professional		$11.36	$11.36	$12.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.04 / $22.92	Professional		$11.36	$17.04	$22.92