Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $196.84	Facility		$55.68	$55.68	$196.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $56.24 / $56.24	Professional		$34.58	$56.24	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $80.42 / $80.42	Facility		$80.42	$80.42	$80.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $2.99 / $4.28	Professional		$2.99	$2.99	$4.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $58.32 / $91.65	Facility		$58.32	$58.32	$91.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $80.42 / $137.47	Facility		$58.32	$80.42	$137.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.28 / $35.40	Professional		$2.99	$4.28	$35.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $52.08 / $70.04	Professional		$34.72	$52.08	$70.04