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 / $19.57 / $28.18	Professional		$17.89	$19.57	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $26.78 / $39.79	Professional		$19.00	$26.78	$39.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $19.19 / $29.07	Facility		$14.04	$19.19	$29.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $23.27 / $23.27	Professional		$22.50	$23.27	$23.27
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 $14.04 / $19.19 / $27.54	Facility		$14.04	$19.19	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $40.04 / $40.74	Professional		$14.84	$40.04	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $91.42 / $158.13	Professional		$89.35	$91.42	$158.13