Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $288.40 / $389.05	Facility		$69.18	$288.40	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $61.66	Professional		$23.44	$32.36	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $89.13	Professional		$23.99	$31.62	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $85.11	Facility		$25.70	$36.31	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $89.13	Professional		$31.62	$64.57	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $125.89	Professional		$41.69	$87.10	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $72.44	Facility		$25.70	$39.81	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $89.13	Professional		$23.99	$37.15	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.44 / $107.15	Professional		$25.70	$72.44	$107.15