Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $33.34 / $117.88	Facility		$19.69	$33.34	$117.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $35.08 / $42.22	Professional		$18.29	$35.08	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Facility		$50.16	$50.16	$50.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $60.73	Professional		$18.86	$18.86	$60.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $29.29 / $46.02	Facility		$27.36	$29.29	$46.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $41.84 / $69.04	Facility		$27.33	$41.84	$69.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $20.46	Professional		$18.86	$18.86	$20.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $28.29 / $38.04	Professional		$18.86	$28.29	$38.04