Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $29.83 / $105.46	Facility		$17.78	$29.83	$105.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $30.13 / $42.73	Professional		$16.36	$30.13	$42.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Facility		$43.09	$43.09	$43.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $52.16	Professional		$16.20	$16.20	$52.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $31.40 / $49.35	Facility		$24.82	$31.40	$49.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $43.09 / $74.02	Facility		$24.86	$43.09	$74.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $17.57	Professional		$16.20	$16.20	$17.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $24.30 / $32.68	Professional		$16.20	$24.30	$32.68