Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $67.50 / $238.63	Facility		$56.79	$67.50	$238.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $37.82 / $85.47	Professional		$34.04	$37.82	$85.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $90.56 / $90.56	Facility		$90.56	$90.56	$90.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $109.64	Professional		$34.04	$34.04	$109.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $68.89 / $108.26	Facility		$67.90	$68.89	$108.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $90.56 / $162.38	Facility		$68.89	$90.56	$162.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $36.94	Professional		$34.04	$34.04	$36.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $51.08 / $68.69	Professional		$34.04	$51.08	$68.69