Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $35.53 / $37.17	Facility		$35.53	$35.53	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $25.22 / $45.00	Professional		$20.11	$25.22	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $29.00 / $86.10	Professional		$22.00	$29.00	$86.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $36.61 / $52.04	Facility		$22.73	$36.61	$52.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $67.92 / $76.28	Professional		$35.15	$67.92	$76.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $46.84 / $101.50	Professional		$31.95	$46.84	$101.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $37.17 / $49.74	Facility		$23.52	$37.17	$49.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $45.34 / $88.75	Professional		$30.24	$45.34	$88.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $72.92 / $124.04	Professional		$64.45	$72.92	$124.04