Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $20.97 / $74.13	Facility		$15.41	$20.97	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $24.29 / $40.92	Professional		$11.50	$24.29	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Facility		$34.72	$34.72	$34.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $42.05	Professional		$13.06	$13.06	$42.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $47.03 / $73.90	Facility		$18.35	$47.03	$73.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $47.03 / $110.85	Facility		$16.45	$47.03	$110.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $14.17	Professional		$13.06	$13.06	$14.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $19.59 / $26.34	Professional		$13.06	$19.59	$26.34