Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $87.10	Facility		$34.67	$45.71	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.02 / $66.07	Professional		$15.85	$38.02	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $57.54	Professional		$28.84	$44.67	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $41.69 / $77.62	Facility		$16.22	$41.69	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $46.77 / $104.71	Professional		$19.05	$46.77	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $70.79 / $151.36	Professional		$28.84	$70.79	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $77.62	Facility		$17.38	$42.66	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $93.33	Professional		$26.92	$44.67	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $186.21	Professional		$38.90	$69.18	$186.21