Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.11 / $113.54	Facility		$19.20	$32.11	$113.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $32.77 / $40.65	Professional		$17.61	$32.77	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $46.86 / $46.86	Facility		$46.86	$46.86	$46.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $56.74	Professional		$17.62	$17.62	$56.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $50.19 / $78.87	Facility		$26.29	$50.19	$78.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $50.19 / $118.30	Facility		$26.51	$50.19	$118.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $19.11	Professional		$17.62	$17.62	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $26.43 / $35.54	Professional		$17.62	$26.43	$35.54