Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $50.22 / $165.07	Facility		$10.13	$50.22	$165.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $12.94 / $59.22	Professional		$6.95	$12.94	$59.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $6.96	Professional		$6.96	$6.96	$6.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Facility		$18.50	$18.50	$18.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $22.41	Professional		$6.96	$6.96	$22.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $13.52 / $21.25	Facility		$11.33	$13.52	$21.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $18.50 / $31.88	Facility		$10.98	$18.50	$31.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $7.54	Professional		$6.96	$6.96	$7.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $10.44 / $14.04	Professional		$6.96	$10.44	$14.04