Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $165.96	Facility		$79.43	$79.43	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $20.89	Professional		$12.88	$15.85	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $81.28	Professional		$17.78	$21.88	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.62 / $45.71	Facility		$13.49	$18.62	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $81.28	Professional		$15.14	$54.95	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $81.28	Professional		$32.36	$35.48	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.05 / $45.71	Facility		$13.80	$19.05	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $52.48 / $79.43	Professional		$22.91	$52.48	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $112.20	Professional		$23.44	$64.57	$112.20