Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $86.81 / $189.94	Facility		$29.22	$86.81	$189.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $36.90 / $57.35	Professional		$17.39	$36.90	$57.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $52.78 / $52.78	Facility		$52.78	$52.78	$52.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $63.88	Professional		$19.84	$19.84	$63.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $66.70 / $104.81	Facility		$32.61	$66.70	$104.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $67.20 / $158.40	Facility		$36.27	$67.20	$158.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $21.53	Professional		$19.84	$19.84	$21.53
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $29.76 / $40.02	Professional		$19.84	$29.76	$40.02