Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $159.53	Facility		$7.80	$7.80	$159.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.75 / $45.57	Professional		$24.50	$24.75	$45.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $65.17 / $65.17	Facility		$65.17	$65.17	$65.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $78.89	Professional		$24.50	$24.50	$78.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $62.30	Facility		$39.65	$39.65	$62.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $56.64 / $93.46	Facility		$39.65	$56.64	$93.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $26.58	Professional		$24.50	$24.50	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $36.75 / $49.42	Professional		$24.50	$36.75	$49.42