Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $177.30 / $772.56	Facility		$40.67	$177.30	$772.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $25.81 / $93.06	Professional		$15.75	$25.81	$93.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $51.88	Professional		$45.79	$45.79	$51.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $176.39 / $339.08	Facility		$42.74	$176.39	$339.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $41.73 / $44.79	Professional		$22.33	$41.73	$44.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $58.05 / $105.00	Professional		$53.75	$58.05	$105.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $58.75 / $132.53	Professional		$22.33	$58.75	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $36.64 / $55.28	Professional		$28.66	$36.64	$55.28