Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $51.73 / $96.54	Facility		$37.65	$51.73	$96.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $41.17 / $64.95	Professional		$19.87	$41.17	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $48.00 / $64.00	Professional		$39.25	$48.00	$64.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $55.17 / $95.40	Facility		$23.70	$55.17	$95.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $72.98 / $126.00	Professional		$44.99	$72.98	$126.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $78.00 / $168.75	Professional		$36.18	$78.00	$168.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $55.17 / $95.40	Facility		$23.70	$55.17	$95.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $62.89 / $151.19	Professional		$36.40	$62.89	$151.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $90.14 / $183.30	Professional		$42.70	$90.14	$183.30