Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $22.34 / $79.00	Facility		$12.92	$22.34	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $22.58 / $28.30	Professional		$12.26	$22.58	$28.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Facility		$32.29	$32.29	$32.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $39.09	Professional		$12.14	$12.14	$39.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $20.29 / $31.88	Facility		$18.39	$20.29	$31.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $28.98 / $47.82	Facility		$18.43	$28.98	$47.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $13.17	Professional		$12.14	$12.14	$13.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $18.21 / $24.49	Professional		$12.14	$18.21	$24.49