Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $106.82 / $426.21	Facility		$89.18	$106.82	$426.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $89.14 / $89.14	Professional		$39.38	$89.14	$89.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Professional		$41.76	$41.76	$41.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $26.61 / $26.61	Professional		$26.61	$26.61	$26.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $23.95 / $59.87	Professional		$23.95	$23.95	$59.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Professional		$41.76	$41.76	$41.76
United Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $79.83 / $79.83	Professional		$79.83	$79.83	$79.83