Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $84.50 / $99.87	Facility		$35.02	$84.50	$99.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.68 / $28.02	Professional		$18.67	$18.68	$28.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Facility		$40.07	$40.07	$40.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $23.28	Professional		$16.29	$16.29	$23.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $48.36	Facility		$30.77	$30.77	$48.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Professional		$14.51	$14.51	$14.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $40.07 / $72.53	Facility		$30.77	$40.07	$72.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.29 / $23.28	Professional		$14.51	$16.29	$23.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $20.88 / $21.98	Professional		$20.88	$20.88	$21.98