Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $60.40 / $85.78	Facility		$60.40	$60.40	$85.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $59.22 / $145.47	Professional		$27.28	$59.22	$145.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $72.28 / $128.46	Professional		$50.79	$72.28	$128.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $102.43 / $203.67	Facility		$24.17	$102.43	$203.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $86.37 / $173.55	Professional		$47.70	$86.37	$173.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $113.10 / $167.70	Professional		$73.75	$113.10	$167.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $112.67 / $203.67	Facility		$24.17	$112.67	$203.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $110.20 / $167.70	Professional		$43.50	$110.20	$167.70
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $140.21 / $176.26	Professional		$79.04	$140.21	$176.26