Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $78.02 / $275.83	Facility		$78.02	$78.02	$275.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $78.81 / $85.62	Professional		$48.46	$78.81	$85.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Facility		$112.70	$112.70	$112.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $36.24 / $51.78	Professional		$36.24	$36.24	$51.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $81.73 / $128.44	Facility		$81.73	$81.73	$128.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $112.70 / $192.65	Facility		$81.73	$112.70	$192.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $49.62 / $51.78	Professional		$36.24	$49.62	$51.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $72.98 / $98.14	Professional		$48.65	$72.98	$98.14