Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $136.88 / $136.88	Facility		$136.88	$136.88	$136.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.95 / $39.11	Professional		$17.14	$17.95	$39.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.84 / $57.78	Professional		$16.07	$23.84	$57.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $39.11 / $63.68	Facility		$16.39	$39.11	$63.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.13 / $123.20	Professional		$41.25	$53.13	$123.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $63.75 / $92.40	Professional		$35.20	$63.75	$92.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $39.11 / $63.68	Facility		$16.39	$39.11	$63.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $45.90 / $90.00	Professional		$20.00	$45.90	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $44.00 / $136.15	Professional		$17.28	$44.00	$136.15