Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $62.91 / $222.43	Facility		$34.85	$62.91	$222.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $63.58 / $79.66	Professional		$34.51	$63.58	$79.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $90.92 / $90.92	Facility		$90.92	$90.92	$90.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $110.06	Professional		$34.18	$34.18	$110.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $51.34 / $80.67	Facility		$50.00	$51.34	$80.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $71.40 / $117.81	Facility		$48.48	$71.40	$117.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $37.09	Professional		$34.18	$34.18	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $51.27 / $68.95	Professional		$34.18	$51.27	$68.95