Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $32.24 / $114.00	Facility		$24.18	$32.24	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $34.29 / $56.78	Professional		$17.69	$34.29	$56.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.05 / $49.05 / $49.05	Facility		$49.05	$49.05	$49.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $59.38	Professional		$18.44	$18.44	$59.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $29.96 / $47.08	Facility		$29.70	$29.96	$47.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $42.80 / $70.62	Facility		$29.96	$42.80	$70.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $20.01	Professional		$18.44	$18.44	$20.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $27.66 / $37.20	Professional		$18.44	$27.66	$37.20