Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $97.72 / $97.72	Facility		$15.85	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.18	Professional		$15.14	$15.14	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $48.98	Professional		$15.14	$15.14	$48.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $32.36 / $51.29	Facility		$15.14	$32.36	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $39.81	Facility		$28.18	$28.18	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $60.26	Professional		$15.49	$16.22	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $44.67	Professional		$16.98	$22.39	$44.67