Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $71.65 / $3,100.80	Facility		$20.27	$71.65	$3,100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $20.47 / $20.47	Professional		$12.58	$20.47	$20.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $9.98	Professional		$6.98	$6.98	$9.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $33.35	Facility		$21.22	$21.22	$33.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $29.27 / $50.03	Facility		$21.22	$29.27	$50.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.98 / $12.89	Professional		$6.98	$9.98	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $18.64 / $25.07	Professional		$12.43	$18.64	$25.07