Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $16.80 / $59.43	Facility		$8.30	$16.80	$59.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $16.86 / $21.28	Professional		$9.22	$16.86	$21.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Facility		$24.11	$24.11	$24.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $29.21	Professional		$9.07	$9.07	$29.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $13.33 / $20.94	Facility		$12.30	$13.33	$20.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $19.04 / $31.42	Facility		$12.43	$19.04	$31.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.83	Professional		$9.07	$9.07	$9.83
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $13.61 / $18.30	Professional		$9.07	$13.61	$18.30