Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $120.23	Facility		$66.07	$89.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $19.05	Professional		$14.13	$15.14	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.20 / $26.92	Facility		$11.22	$18.20	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $19.05	Professional		$12.02	$15.14	$19.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $91.20	Professional		$58.88	$63.10	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $26.92	Facility		$12.02	$15.85	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $107.15	Professional		$39.81	$41.69	$107.15