Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $102.03 / $102.03	Facility		$102.03	$102.03	$102.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $30.58 / $43.45	Professional		$28.00	$30.58	$43.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $62.13 / $62.13	Facility		$62.13	$62.13	$62.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $29.93	Professional		$20.95	$20.95	$29.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $47.71 / $74.98	Facility		$47.71	$47.71	$74.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $62.13 / $112.46	Facility		$47.71	$62.13	$112.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $29.93 / $31.94	Professional		$20.95	$29.93	$31.94
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $34.08	Professional		$32.38	$32.38	$34.08