Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $53.16 / $110.13	Facility		$53.16	$53.16	$110.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $16.14 / $31.83	Professional		$14.91	$16.14	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $89.33 / $117.60	Professional		$54.94	$89.33	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $31.83 / $31.83	Facility		$16.71	$31.83	$31.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $16.92 / $28.04	Professional		$16.92	$16.92	$28.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $31.83 / $45.52	Facility		$16.71	$31.83	$45.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $85.75 / $117.60	Professional		$25.47	$85.75	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44