Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $72.95 / $257.92	Facility		$33.29	$72.95	$257.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $73.55 / $92.37	Professional		$33.64	$73.55	$92.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.18 / $105.18 / $105.18	Facility		$105.18	$105.18	$105.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $127.32	Professional		$39.54	$39.54	$127.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $120.96 / $190.08	Facility		$43.39	$120.96	$190.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $120.96 / $285.12	Facility		$48.32	$120.96	$285.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $42.90	Professional		$39.54	$39.54	$42.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $59.31 / $79.76	Professional		$39.54	$59.31	$79.76