Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $34.69 / $122.64	Facility		$23.74	$34.69	$122.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $39.04 / $52.11	Professional		$19.03	$39.04	$52.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $55.84 / $55.84	Facility		$55.84	$55.84	$55.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $67.59	Professional		$20.99	$20.99	$67.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $26.67 / $36.67	Facility		$23.34	$26.67	$36.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $50.90 / $83.99	Facility		$32.94	$50.90	$83.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $22.77	Professional		$20.99	$20.99	$22.77
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $31.49 / $42.34	Professional		$20.99	$31.49	$42.34