Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $46.77	Professional		$21.88	$26.30	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $72.44	Professional		$23.44	$33.88	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $61.66	Facility		$22.91	$32.36	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $107.15	Professional		$30.20	$63.10	$107.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $138.04	Professional		$47.86	$89.13	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.11 / $61.66	Facility		$23.44	$33.11	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $72.44	Professional		$23.99	$33.88	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $58.88 / $125.89	Professional		$22.39	$58.88	$125.89