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 / $19.47 / $26.58	Professional		$17.89	$19.47	$26.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.81 / $39.79	Professional		$19.00	$27.81	$39.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $29.07	Facility		$17.89	$19.19	$29.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $41.45 / $55.70	Professional		$39.47	$41.45	$55.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $19.19 / $26.60	Facility		$17.89	$19.19	$26.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $40.04 / $40.04	Professional		$19.00	$40.04	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $87.92 / $175.84	Professional		$79.13	$87.92	$175.84