Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $51.38 / $1,030.89	Facility		$51.38	$51.38	$1,030.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $73.08 / $842.97	Professional		$42.02	$73.08	$842.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $66.84 / $935.33	Professional		$28.67	$66.84	$935.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $60.09 / $1,180.16	Facility		$42.02	$60.09	$1,180.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $55.19 / $1,228.00	Professional		$42.85	$55.19	$1,228.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $96.99 / $1,716.74	Professional		$36.00	$96.99	$1,716.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $60.09 / $1,180.16	Facility		$42.02	$60.09	$1,180.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $234.90 / $969.03	Professional		$29.15	$234.90	$969.03
United Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $748.26 / $1,122.39	Professional		$105.82	$748.26	$1,122.39