Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $83.50 / $83.50	Facility		$83.50	$83.50	$83.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $25.78 / $56.29	Professional		$20.02	$25.78	$56.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.00 / $22.83	Professional		$15.30	$18.00	$22.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $25.78 / $67.55	Facility		$19.19	$25.78	$67.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $53.37 / $74.28	Professional		$38.25	$53.37	$74.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $46.75 / $76.95	Professional		$23.20	$46.75	$76.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $26.04 / $116.92	Facility		$16.02	$26.04	$116.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $42.75 / $84.00	Professional		$18.05	$42.75	$84.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $48.98 / $84.78	Professional		$19.14	$48.98	$84.78