Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Facility		$47.86	$47.86	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $87.10	Professional		$15.85	$25.70	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $131.83	Facility		$16.98	$30.20	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $162.18	Professional		$31.62	$72.44	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $125.89	Professional		$58.88	$89.13	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $123.03 / $181.97	Facility		$22.91	$123.03	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $31.62 / $75.86	Professional		$14.79	$31.62	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $141.25	Professional		$30.20	$64.57	$141.25