Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $33.22 / $117.46	Facility		$16.88	$33.22	$117.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $30.77 / $42.06	Professional		$18.22	$30.77	$42.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $53.26	Professional		$16.54	$16.54	$53.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $50.72 / $79.70	Facility		$20.93	$50.72	$79.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $50.72 / $119.56	Facility		$24.59	$50.72	$119.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $17.94	Professional		$16.54	$16.54	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $24.81 / $33.36	Professional		$16.54	$24.81	$33.36