Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $20.30 / $71.79	Facility		$14.35	$20.30	$71.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.26 / $25.71	Professional		$11.03	$12.26	$25.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $29.36	Facility		$29.36	$29.36	$29.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $35.54	Professional		$11.04	$11.04	$35.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $67.17 / $105.56	Facility		$15.90	$67.17	$105.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $67.17 / $158.33	Facility		$17.17	$67.17	$158.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.97	Professional		$11.04	$11.04	$11.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $16.55 / $22.27	Professional		$11.04	$16.55	$22.27