Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $56.93 / $86.56	Facility		$56.93	$56.93	$86.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $47.94 / $146.78	Professional		$27.93	$47.94	$146.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $75.18 / $129.07	Professional		$48.49	$75.18	$129.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $96.55 / $205.49	Facility		$22.59	$96.55	$205.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $85.38 / $171.60	Professional		$51.28	$85.38	$171.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $108.00 / $168.43	Professional		$67.50	$108.00	$168.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $106.21 / $205.49	Facility		$22.59	$106.21	$205.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $104.00 / $165.75	Professional		$40.85	$104.00	$165.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $140.53 / $176.66	Professional		$78.52	$140.53	$176.66