Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $33.69 / $119.11	Facility		$18.98	$33.69	$119.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $33.77 / $42.64	Professional		$18.48	$33.77	$42.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $48.29 / $48.29	Facility		$48.29	$48.29	$48.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $58.48	Professional		$18.16	$18.16	$58.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $30.32 / $47.65	Facility		$25.92	$30.32	$47.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $43.32 / $71.48	Facility		$26.61	$43.32	$71.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $19.70	Professional		$18.16	$18.16	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $27.24 / $36.63	Professional		$18.16	$27.24	$36.63