Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $34.67	Professional		$16.98	$19.95	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $56.23	Professional		$17.78	$26.92	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $51.29	Facility		$17.78	$26.92	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $85.11	Professional		$30.90	$51.29	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $107.15	Professional		$36.31	$70.79	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $50.12	Facility		$17.78	$27.54	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $60.26	Professional		$18.20	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $44.67 / $61.66	Professional		$16.60	$44.67	$61.66