Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $103.76 / $103.76	Professional		$63.79	$103.76	$103.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $148.38 / $148.38	Facility		$148.38	$148.38	$148.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $35.58 / $50.83	Professional		$35.58	$35.58	$50.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $107.60 / $169.09	Facility		$107.60	$107.60	$169.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $148.38 / $253.64	Facility		$107.60	$148.38	$253.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $50.83 / $65.33	Professional		$35.58	$50.83	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $96.08 / $129.19	Professional		$64.05	$96.08	$129.19