Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $139.90 / $139.90	Facility		$139.90	$139.90	$139.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $18.30 / $39.97	Professional		$17.50	$18.30	$39.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $27.68 / $59.04	Professional		$16.39	$27.68	$59.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $39.97 / $72.70	Facility		$16.72	$39.97	$72.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $54.67 / $125.90	Professional		$42.05	$54.67	$125.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $65.00 / $107.10	Professional		$40.79	$65.00	$107.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $39.97 / $72.70	Facility		$16.72	$39.97	$72.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $46.80 / $99.45	Professional		$20.75	$46.80	$99.45
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $50.14 / $139.04	Professional		$17.62	$50.14	$139.04