Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $51.29	Facility		$28.18	$28.18	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $52.48	Professional		$8.91	$19.05	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $53.70	Professional		$30.90	$30.90	$53.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.91 / $95.50	Facility		$10.00	$22.91	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $54.95 / $114.82	Professional		$19.05	$54.95	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $91.20	Professional		$35.48	$58.88	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $72.44 / $131.83	Facility		$13.18	$72.44	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $22.39 / $60.26	Professional		$8.32	$22.39	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $97.72	Professional		$22.91	$42.66	$97.72