Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $256.83 / $3,808.72	Facility		$59.66	$256.83	$3,808.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.04 / $171.00	Professional		$19.48	$30.04	$171.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $27.71 / $161.16	Professional		$19.66	$27.71	$161.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $45.67 / $75.22	Facility		$27.62	$45.67	$75.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $59.38 / $67.67	Professional		$29.93	$59.38	$67.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $75.59 / $112.14	Professional		$34.65	$75.59	$112.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $43.01 / $75.22	Facility		$23.38	$43.01	$75.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $59.85 / $122.85	Professional		$24.76	$59.85	$122.85
United Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $62.58 / $113.18	Professional		$32.89	$62.58	$113.18