Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $24.57 / $86.87	Facility		$14.47	$24.57	$86.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $24.72 / $31.26	Professional		$13.48	$24.72	$31.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $42.79	Professional		$13.29	$13.29	$42.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $20.92 / $32.86	Facility		$19.62	$20.92	$32.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $29.88 / $49.30	Facility		$19.71	$29.88	$49.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $14.42	Professional		$13.29	$13.29	$14.42
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $19.94 / $26.81	Professional		$13.29	$19.94	$26.81