Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $17.68 / $122.99	Facility		$14.60	$17.68	$122.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $19.05 / $46.06	Professional		$9.88	$19.05	$46.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $29.44 / $29.44	Facility		$29.44	$29.44	$29.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $50.13 / $64.56	Professional		$22.33	$50.13	$64.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $130.00 / $190.32	Professional		$58.75	$130.00	$190.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $29.44 / $29.44	Facility		$29.44	$29.44	$29.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $60.00 / $138.04	Professional		$22.33	$60.00	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $36.64 / $55.28	Professional		$28.11	$36.64	$55.28