Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $163.79 / $350.56	Facility		$41.61	$163.79	$350.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $33.29 / $160.74	Professional		$13.35	$33.29	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $25.31 / $110.11	Professional		$13.57	$25.31	$110.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $33.29 / $46.61	Facility		$17.02	$33.29	$46.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $36.72 / $45.21	Professional		$22.80	$36.72	$45.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $53.75 / $84.00	Professional		$25.03	$53.75	$84.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $33.29 / $46.61	Facility		$17.02	$33.29	$46.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $47.28 / $96.00	Professional		$19.22	$47.28	$96.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $42.76 / $85.52	Professional		$19.98	$42.76	$85.52