Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $77.27 / $273.18	Facility		$43.52	$77.27	$273.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $78.09 / $97.82	Professional		$42.38	$78.09	$97.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $111.67 / $111.67	Facility		$111.67	$111.67	$111.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $135.18	Professional		$41.98	$41.98	$135.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $66.42 / $104.37	Facility		$62.30	$66.42	$104.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $93.02 / $153.47	Facility		$61.41	$93.02	$153.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $45.55	Professional		$41.98	$41.98	$45.55
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $62.97 / $84.68	Professional		$41.98	$62.97	$84.68