Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $95.50 / $95.50	Facility		$14.79	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $26.92	Professional		$14.13	$14.13	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $46.77	Professional		$14.45	$14.45	$46.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $39.81 / $63.10	Facility		$14.45	$39.81	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $38.90	Facility		$26.92	$26.92	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $60.26	Professional		$14.45	$15.85	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $363.08	Professional		$16.22	$21.88	$363.08