Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $79.70 / $281.82	Facility		$49.00	$79.70	$281.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $80.34 / $113.66	Professional		$43.72	$80.34	$113.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Facility		$114.89	$114.89	$114.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $139.07	Professional		$43.19	$43.19	$139.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $72.11 / $113.32	Facility		$65.48	$72.11	$113.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $103.02 / $169.98	Facility		$66.02	$103.02	$169.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $46.86	Professional		$43.19	$43.19	$46.86
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $64.79 / $87.12	Professional		$43.19	$64.79	$87.12