Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $41.34 / $128.40	Facility		$11.79	$41.34	$128.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.05 / $17.97	Professional		$7.25	$8.05	$17.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $19.28 / $19.28	Facility		$19.28	$19.28	$19.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $23.35	Professional		$7.25	$7.25	$23.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $40.95 / $64.34	Facility		$11.98	$40.95	$64.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $40.95 / $96.52	Facility		$12.56	$40.95	$96.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.87	Professional		$7.25	$7.25	$7.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.88 / $14.62	Professional		$7.25	$10.88	$14.62