Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $40.57 / $78.70	Facility		$30.43	$40.57	$78.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $37.36 / $53.52	Professional		$26.73	$37.36	$53.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $39.00 / $46.35	Professional		$31.00	$39.00	$46.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $55.27 / $88.16	Facility		$32.59	$55.27	$88.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $90.53 / $108.32	Professional		$51.78	$90.53	$108.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $75.59 / $150.80	Professional		$47.07	$75.59	$150.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $55.27 / $88.16	Facility		$32.59	$55.27	$88.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $54.57 / $140.40	Professional		$37.54	$54.57	$140.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $70.17 / $129.77	Professional		$34.22	$70.17	$129.77