Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $291.06 / $652.79	Facility		$81.16	$291.06	$652.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $20.10 / $149.46	Professional		$12.18	$20.10	$149.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.64 / $27.46	Professional		$9.03	$12.64	$27.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $20.10 / $28.74	Facility		$11.32	$20.10	$28.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $33.76 / $37.47	Professional		$26.38	$33.76	$37.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $47.25 / $65.88	Professional		$23.76	$47.25	$65.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $20.10 / $28.14	Facility		$11.32	$20.10	$28.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $25.73 / $55.80	Professional		$13.95	$25.73	$55.80
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $23.88 / $41.79	Professional		$14.64	$23.88	$41.79