Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $28.63 / $101.22	Facility		$16.88	$28.63	$101.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $29.04 / $2,970.00	Professional		$15.71	$29.04	$2,970.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $41.53 / $41.53	Facility		$41.53	$41.53	$41.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $50.26	Professional		$15.61	$15.61	$50.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $29.89 / $46.97	Facility		$23.55	$29.89	$46.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $41.53 / $70.45	Facility		$23.84	$41.53	$70.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $16.94	Professional		$15.61	$15.61	$16.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $23.42 / $31.49	Professional		$15.61	$23.42	$31.49