Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $34.90 / $123.38	Facility		$22.27	$34.90	$123.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $40.95	Professional		$22.01	$22.01	$40.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $58.56	Facility		$58.56	$58.56	$58.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $70.90	Professional		$22.02	$22.02	$70.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $56.73 / $89.14	Facility		$31.36	$56.73	$89.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $58.56 / $128.57	Facility		$31.17	$58.56	$128.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $23.89	Professional		$22.02	$22.02	$23.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $33.03 / $44.42	Professional		$22.02	$33.03	$44.42