Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $46.86 / $94.34	Facility		$46.86	$46.86	$94.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $30.41 / $77.15	Professional		$15.98	$30.41	$77.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $59.72 / $110.16	Professional		$39.63	$59.72	$110.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $44.89 / $108.01	Facility		$21.81	$44.89	$108.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $76.34 / $123.94	Professional		$42.85	$76.34	$123.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $76.84 / $172.55	Professional		$34.17	$76.84	$172.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $40.85 / $108.01	Facility		$21.67	$40.85	$108.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $69.48 / $151.50	Professional		$35.70	$69.48	$151.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $88.12 / $176.24	Professional		$88.12	$88.12	$176.24