Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $380.19	Facility		$64.57	$67.61	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.91 / $83.18	Professional		$10.00	$22.91	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $46.77 / $380.19	Facility		$16.22	$46.77	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $66.07	Professional		$20.89	$37.15	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $85.11	Professional		$45.71	$50.12	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.89 / $47.86	Facility		$10.96	$20.89	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $27.54	Professional		$10.96	$20.42	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $54.95	Professional		$22.91	$26.30	$54.95