Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $65.08 / $111.35	Facility		$12.42	$65.08	$111.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.39 / $25.15	Professional		$12.06	$13.39	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $32.06 / $32.06	Facility		$32.06	$32.06	$32.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $38.83	Professional		$12.06	$12.06	$38.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $31.95 / $50.20	Facility		$17.44	$31.95	$50.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $32.06 / $75.31	Facility		$15.82	$32.06	$75.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $13.08	Professional		$12.05	$12.05	$13.08
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.09 / $24.33	Professional		$12.06	$18.09	$24.33