Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $56.72 / $200.52	Facility		$27.64	$56.72	$200.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $53.22 / $133.62	Professional		$31.11	$53.22	$133.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $92.12	Professional		$28.61	$28.61	$92.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $134.40 / $211.20	Facility		$38.27	$134.40	$211.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $134.40 / $316.80	Facility		$43.36	$134.40	$316.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $31.04	Professional		$28.61	$28.61	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $42.92 / $57.71	Professional		$28.61	$42.92	$57.71