Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $33.86 / $119.70	Facility		$18.75	$33.86	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $33.76 / $42.87	Professional		$18.57	$33.76	$42.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.28 / $48.28	Facility		$48.28	$48.28	$48.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $58.44	Professional		$18.14	$18.14	$58.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $41.16 / $64.68	Facility		$26.70	$41.16	$64.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $48.28 / $94.64	Facility		$26.02	$48.28	$94.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $19.69	Professional		$18.14	$18.14	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.23 / $54.45	Professional		$20.32	$27.23	$54.45