Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $162.00 / $336.26	Facility		$78.19	$162.00	$336.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $17.79 / $46.82	Professional		$14.29	$17.79	$46.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $22.90 / $85.00	Professional		$18.32	$22.90	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $36.06 / $65.55	Facility		$16.34	$36.06	$65.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $64.05 / $74.25	Professional		$39.90	$64.05	$74.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $43.55 / $89.10	Professional		$30.15	$43.55	$89.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $46.82 / $65.55	Facility		$16.14	$46.82	$65.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $40.50 / $82.50	Professional		$25.25	$40.50	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $68.00 / $102.00	Professional		$57.55	$68.00	$102.00