Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $26.17 / $92.51	Facility		$15.58	$26.17	$92.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $26.47 / $33.13	Professional		$14.35	$26.47	$33.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Facility		$37.85	$37.85	$37.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $45.82	Professional		$14.23	$14.23	$45.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $34.47 / $54.16	Facility		$21.90	$34.47	$54.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $37.85 / $81.25	Facility		$21.94	$37.85	$81.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $15.44	Professional		$14.23	$14.23	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $21.35 / $42.69	Professional		$15.94	$21.35	$42.69