Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $22.11 / $78.16	Facility		$11.49	$22.11	$78.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $13.40 / $27.98	Professional		$12.07	$13.40	$27.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $32.10	Facility		$32.10	$32.10	$32.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $38.86	Professional		$12.07	$12.07	$38.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $20.03 / $31.48	Facility		$17.34	$20.03	$31.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $27.82 / $45.90	Facility		$16.82	$27.82	$45.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $13.10	Professional		$12.07	$12.07	$13.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $18.11 / $24.35	Professional		$12.07	$18.11	$24.35