Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $219.17 / $6,592.80	Facility		$61.99	$219.17	$6,592.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $58.14 / $73.23	Professional		$39.11	$58.14	$73.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $62.62 / $89.55	Facility		$42.84	$62.62	$89.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $70.78 / $70.78	Professional		$49.54	$70.78	$70.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $61.05 / $61.05	Professional		$61.05	$61.05	$61.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $62.62 / $87.67	Facility		$42.08	$62.62	$87.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $86.07 / $88.54	Professional		$50.88	$86.07	$88.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $64.26 / $108.62	Professional		$42.84	$64.26	$108.62