Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $77.34	Facility		$21.88	$21.88	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.10 / $22.10	Professional		$13.59	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $31.60 / $31.60	Facility		$31.60	$31.60	$31.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $22.92 / $36.01	Facility		$22.92	$22.92	$36.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $31.60 / $54.02	Facility		$22.92	$31.60	$54.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $20.46 / $27.51	Professional		$13.64	$20.46	$27.51