Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $89.13	Facility		$57.54	$57.54	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $83.18	Professional		$21.88	$38.90	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $131.83	Professional		$48.98	$75.86	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $69.18 / $147.91	Facility		$27.54	$69.18	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $144.54	Professional		$41.69	$77.62	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $162.18	Professional		$64.57	$107.15	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $63.10 / $147.91	Facility		$19.05	$63.10	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $75.86	Professional		$25.70	$48.98	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $93.33 / $165.96	Professional		$38.02	$93.33	$165.96