Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $215.33 / $269.05	Facility		$51.88	$215.33	$269.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $28.87 / $222.60	Professional		$16.96	$28.87	$222.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $32.02 / $191.07	Professional		$18.04	$32.02	$191.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $46.71 / $65.39	Facility		$24.01	$46.71	$65.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $51.62 / $58.82	Professional		$34.33	$51.62	$58.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $72.90 / $116.09	Professional		$37.50	$72.90	$116.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $39.70 / $65.39	Facility		$24.01	$39.70	$65.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $60.80 / $140.60	Professional		$28.96	$60.80	$140.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $74.20 / $134.19	Professional		$37.67	$74.20	$134.19