Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $90.70 / $166.18	Facility		$31.80	$90.70	$166.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $23.68 / $39.64	Professional		$21.30	$23.68	$39.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $56.69 / $56.69	Facility		$56.69	$56.69	$56.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $68.62	Professional		$21.31	$21.31	$68.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $30.14 / $41.45	Facility		$26.38	$30.14	$41.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $36.24 / $59.80	Facility		$25.37	$36.24	$59.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $23.13	Professional		$21.31	$21.31	$23.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $31.97 / $42.99	Professional		$21.31	$31.97	$42.99