Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $65.73	Facility		$31.73	$31.73	$65.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.43 / $39.10	Professional		$17.89	$19.43	$39.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.84 / $81.37	Professional		$21.00	$28.84	$81.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $42.65	Facility		$17.89	$19.19	$42.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $22.00	Professional		$20.00	$22.00	$22.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $52.91 / $55.70	Professional		$50.40	$52.91	$55.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $46.99	Facility		$19.00	$19.95	$46.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $40.04 / $40.04	Professional		$21.00	$40.04	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $127.76 / $255.52	Professional		$124.59	$127.76	$255.52