Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $45.99 / $66.91	Facility		$40.00	$45.99	$66.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $33.33 / $58.35	Professional		$22.43	$33.33	$58.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $50.00 / $92.70	Professional		$31.00	$50.00	$92.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $49.05 / $66.22	Facility		$33.11	$49.05	$66.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $90.70 / $116.00	Professional		$53.20	$90.70	$116.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $59.63 / $137.60	Professional		$40.04	$59.63	$137.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $49.05 / $66.22	Facility		$31.09	$49.05	$66.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $58.78 / $113.30	Professional		$36.08	$58.78	$113.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $49.95 / $97.92	Professional		$29.36	$49.95	$97.92