Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $117.36 / $1,316.76	Facility		$19.32	$117.36	$1,316.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $20.11 / $39.33	Professional		$18.10	$20.11	$39.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $48.16	Facility		$45.26	$45.26	$48.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $58.31	Professional		$18.11	$18.11	$58.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $29.83 / $46.88	Facility		$26.27	$29.83	$46.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $42.62 / $70.31	Facility		$27.15	$42.62	$70.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $19.64	Professional		$18.11	$18.11	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $27.17 / $36.53	Professional		$18.11	$27.17	$36.53