Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $114.16 / $214.30	Facility		$30.30	$114.16	$214.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $33.38 / $33.38	Professional		$10.45	$33.38	$33.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $32.04 / $36.74	Professional		$14.72	$32.04	$36.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $12.69 / $47.73	Facility		$9.99	$12.69	$47.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $29.00 / $70.68	Professional		$23.45	$29.00	$70.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $39.15 / $67.05	Professional		$36.25	$39.15	$67.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $15.23 / $47.73	Facility		$12.69	$15.23	$47.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $36.25 / $67.05	Professional		$14.25	$36.25	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $30.59 / $66.41	Professional		$15.07	$30.59	$66.41