Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $97.72 / $97.72	Facility		$16.98	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $26.92	Professional		$15.14	$15.14	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $47.86	Professional		$15.14	$15.14	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $25.12 / $39.81	Facility		$2.29	$25.12	$39.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $39.81	Facility		$28.18	$28.18	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.22 / $60.26	Professional		$15.14	$16.22	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $22.39 / $30.20	Professional		$1.70	$22.39	$30.20