Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $274.30 / $342.72	Facility		$66.06	$274.30	$342.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $33.72 / $80.33	Professional		$21.34	$33.72	$80.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $30.39 / $181.33	Professional		$22.17	$30.39	$181.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $59.50 / $83.30	Facility		$25.51	$59.50	$83.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $65.02 / $74.09	Professional		$33.72	$65.02	$74.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $85.20 / $124.44	Professional		$38.08	$85.20	$124.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $59.50 / $83.30	Facility		$25.51	$59.50	$83.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $67.45 / $138.44	Professional		$27.14	$67.45	$138.44
United Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $71.22 / $128.81	Professional		$57.64	$71.22	$128.81