Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $138.69 / $138.69	Facility		$109.78	$138.69	$138.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $33.61 / $45.86	Professional		$30.57	$33.61	$45.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $65.58 / $65.58	Facility		$65.58	$65.58	$65.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $31.83	Professional		$22.28	$22.28	$31.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $79.13	Facility		$50.36	$50.36	$79.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $65.58 / $118.70	Facility		$50.36	$65.58	$118.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $22.28 / $33.71	Professional		$19.03	$22.28	$33.71
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $34.17 / $35.97	Professional		$34.17	$34.17	$35.97