Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $133.91 / $133.91	Facility		$133.91	$133.91	$133.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.60 / $38.26	Professional		$16.80	$17.60	$38.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.30 / $56.53	Professional		$15.74	$23.30	$56.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $38.26 / $60.96	Facility		$16.05	$38.26	$60.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $52.07 / $120.51	Professional		$40.43	$52.07	$120.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $55.90 / $91.50	Professional		$34.40	$55.90	$91.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $38.26 / $60.96	Facility		$16.05	$38.26	$60.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $44.93 / $86.00	Professional		$19.61	$44.93	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $42.04 / $99.85	Professional		$14.46	$42.04	$99.85