Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Facility		$36.22	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $65.93 / $81.50	Professional		$64.09	$65.93	$81.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $42.75 / $42.75	Professional		$42.75	$42.75	$42.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $65.93 / $94.28	Facility		$15.17	$65.93	$94.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $73.50 / $99.84	Professional		$28.30	$73.50	$99.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $50.75 / $79.20	Professional		$43.75	$50.75	$79.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $65.93 / $94.28	Facility		$15.17	$65.93	$94.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $52.50 / $80.28	Professional		$17.10	$52.50	$80.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $79.76	Professional		$34.20	$34.20	$79.76