Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $93.02 / $237.60	Facility		$14.60	$93.02	$237.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $28.45 / $39.47	Professional		$17.10	$28.45	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $40.68 / $40.68	Facility		$40.68	$40.68	$40.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $49.27	Professional		$15.30	$15.30	$49.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $47.04 / $73.92	Facility		$18.57	$47.04	$73.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $45.01 / $106.09	Facility		$21.89	$45.01	$106.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $16.59	Professional		$15.30	$15.30	$16.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.95 / $30.86	Professional		$15.30	$22.95	$30.86