Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $208.20 / $649.16	Facility		$60.73	$208.20	$649.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.24 / $21.06	Professional		$12.94	$14.24	$21.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Facility		$30.12	$30.12	$30.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $21.85	Professional		$15.30	$15.30	$21.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $21.84 / $34.32	Facility		$21.84	$21.84	$34.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $30.12 / $51.48	Facility		$21.84	$30.12	$51.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $21.85	Professional		$13.26	$13.26	$21.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $19.50 / $26.22	Professional		$13.00	$19.50	$26.22