Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $46.05 / $88.01	Facility		$34.53	$46.05	$88.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $36.17 / $60.41	Professional		$15.40	$36.17	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $57.40	Professional		$35.00	$45.00	$57.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $44.89 / $86.98	Facility		$18.12	$44.89	$86.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $61.53 / $111.00	Professional		$35.19	$61.53	$111.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $63.65 / $150.00	Professional		$27.00	$63.65	$150.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $45.55 / $86.98	Facility		$18.41	$45.55	$86.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $55.35 / $135.30	Professional		$27.78	$55.35	$135.30
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $80.00 / $111.02	Professional		$39.31	$80.00	$111.02