Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $55.16 / $74.40	Facility		$34.84	$55.16	$74.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $50.07 / $100.80	Professional		$14.53	$50.07	$100.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $46.43 / $82.45	Professional		$30.12	$46.43	$82.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $59.11 / $130.97	Facility		$13.89	$59.11	$130.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $57.24 / $115.05	Professional		$26.68	$57.24	$115.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $69.30 / $108.00	Professional		$41.25	$69.30	$108.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $65.02 / $130.97	Facility		$13.89	$65.02	$130.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $64.34 / $108.00	Professional		$26.13	$64.34	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $87.15 / $109.56	Professional		$49.80	$87.15	$109.56