Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $118.44 / $200.31	Facility		$43.63	$118.44	$200.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $19.91 / $70.34	Professional		$10.99	$19.91	$70.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $51.26	Professional		$43.19	$43.19	$51.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $70.34 / $98.48	Facility		$15.07	$70.34	$98.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $75.59 / $101.42	Professional		$29.10	$75.59	$101.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $63.80 / $88.00	Professional		$48.60	$63.80	$88.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $70.34 / $98.48	Facility		$15.07	$70.34	$98.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $56.25 / $88.00	Professional		$22.50	$56.25	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $61.50 / $93.93	Professional		$38.67	$61.50	$93.93