Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $57.41 / $202.97	Facility		$57.41	$57.41	$202.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.49 / $57.83	Professional		$31.08	$31.49	$57.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $54.27 / $54.27	Facility		$54.27	$54.27	$54.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $65.72	Professional		$20.41	$20.41	$65.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $84.00 / $132.00	Facility		$29.92	$84.00	$132.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $84.00 / $198.00	Facility		$33.04	$84.00	$198.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $22.14	Professional		$20.41	$20.41	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $52.02 / $69.95	Professional		$34.68	$52.02	$69.95