Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $86.38 / $305.38	Facility		$36.26	$86.38	$305.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $63.04 / $109.36	Professional		$47.38	$63.04	$109.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $131.07 / $131.07	Facility		$131.07	$131.07	$131.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $158.68	Professional		$49.28	$49.28	$158.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $68.22 / $107.21	Facility		$58.35	$68.22	$107.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $89.04 / $146.91	Facility		$59.36	$89.04	$146.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $53.46	Professional		$49.28	$49.28	$53.46
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $73.92 / $99.41	Professional		$49.28	$73.92	$99.41