Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $96.99 / $125.33	Facility		$96.99	$96.99	$125.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.15 / $68.45	Professional		$26.06	$36.15	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $95.64 / $125.90	Professional		$38.08	$95.64	$125.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $43.33 / $97.88	Facility		$28.70	$43.33	$97.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $111.30 / $149.27	Professional		$62.87	$111.30	$149.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $76.95 / $118.08	Professional		$43.20	$76.95	$118.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $45.79 / $101.72	Facility		$30.79	$45.79	$101.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $76.22 / $130.00	Professional		$40.50	$76.22	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $102.34 / $128.80	Professional		$102.18	$102.34	$128.80