Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $50.83 / $50.83	Facility		$50.83	$50.83	$50.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.12 / $41.56	Professional		$16.30	$20.12	$41.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $23.69 / $136.26	Professional		$16.55	$23.69	$136.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $35.42 / $58.18	Facility		$23.52	$35.42	$58.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $50.59 / $55.71	Professional		$24.51	$50.59	$55.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $63.60 / $94.34	Professional		$29.15	$63.60	$94.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $35.33 / $58.18	Facility		$19.94	$35.33	$58.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $47.70 / $103.35	Professional		$21.17	$47.70	$103.35
United Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $52.92 / $79.84	Professional		$17.22	$52.92	$79.84