Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $60.35 / $145.44	Facility		$23.41	$60.35	$145.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $38.53 / $51.43	Professional		$22.28	$38.53	$51.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $55.10	Facility		$55.10	$55.10	$55.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $66.72	Professional		$20.72	$20.72	$66.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $33.19 / $52.16	Facility		$32.94	$33.19	$52.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $47.42 / $78.23	Facility		$31.39	$47.42	$78.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $22.47	Professional		$20.72	$20.72	$22.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $31.08 / $41.80	Professional		$20.72	$31.08	$41.80