Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $32.39 / $114.52	Facility		$17.46	$32.39	$114.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $31.33 / $41.01	Professional		$17.76	$31.33	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $44.80 / $44.80	Facility		$44.80	$44.80	$44.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $54.22	Professional		$16.84	$16.84	$54.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $37.72 / $59.27	Facility		$25.07	$37.72	$59.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $44.80 / $88.90	Facility		$25.50	$44.80	$88.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $18.27	Professional		$16.84	$16.84	$18.27
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $25.26 / $50.52	Professional		$18.86	$25.26	$50.52