Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $73.33 / $5,359.55	Facility		$44.22	$73.33	$5,359.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $74.06 / $103.88	Professional		$40.22	$74.06	$103.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $105.92 / $105.92	Facility		$105.92	$105.92	$105.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $47.80	Professional		$39.83	$39.83	$47.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $63.84 / $100.32	Facility		$60.18	$63.84	$100.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $91.20 / $150.47	Facility		$60.21	$91.20	$150.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $43.21	Professional		$39.83	$39.83	$43.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $59.75 / $80.34	Professional		$39.83	$59.75	$80.34