Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $69.77 / $751.88	Facility		$49.70	$69.77	$751.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $33.34 / $912.00	Professional		$30.01	$33.34	$912.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $79.81	Facility		$79.81	$79.81	$79.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $96.63	Professional		$30.01	$30.01	$96.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $42.70 / $67.09	Facility		$40.47	$42.70	$67.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $55.46 / $91.51	Facility		$36.19	$55.46	$91.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $32.56	Professional		$30.01	$30.01	$32.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $45.02 / $60.54	Professional		$30.01	$45.02	$60.54