Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $288.17 / $360.06	Facility		$69.42	$288.17	$360.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $32.26 / $62.51	Professional		$23.45	$32.26	$62.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.07 / $190.60	Professional		$23.07	$33.07	$190.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $53.13 / $87.51	Facility		$32.26	$53.13	$87.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $69.62 / $79.04	Professional		$35.15	$69.62	$79.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $88.80 / $137.25	Professional		$39.40	$88.80	$137.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $53.13 / $87.51	Facility		$27.78	$53.13	$87.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $61.40 / $138.00	Professional		$33.07	$61.40	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $74.02 / $133.87	Professional		$37.67	$74.02	$133.87