Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $58.70 / $84.94	Facility		$58.70	$58.70	$84.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $99.56 / $144.05	Professional		$18.12	$99.56	$144.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $73.77 / $127.01	Professional		$50.79	$73.77	$127.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $99.56 / $201.67	Facility		$24.17	$99.56	$201.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $84.42 / $169.65	Professional		$45.28	$84.42	$169.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $110.00 / $166.54	Professional		$70.00	$110.00	$166.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $109.52 / $201.67	Facility		$24.17	$109.52	$201.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $107.87 / $165.75	Professional		$42.00	$107.87	$165.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $138.53 / $174.15	Professional		$78.23	$138.53	$174.15