Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $60.39 / $218.26	Facility		$24.73	$60.39	$218.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $28.50 / $45.25	Professional		$17.44	$28.50	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $40.76 / $40.76	Facility		$40.76	$40.76	$40.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $49.36	Professional		$15.33	$15.33	$49.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $42.00 / $66.00	Facility		$25.49	$42.00	$66.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $42.00 / $99.00	Facility		$24.59	$42.00	$99.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $16.63	Professional		$15.32	$15.32	$16.63
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $23.00 / $30.92	Professional		$15.33	$23.00	$30.92