Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $73.44 / $259.63	Facility		$41.56	$73.44	$259.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $74.16 / $92.97	Professional		$40.28	$74.16	$92.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $106.05 / $106.05	Facility		$106.05	$106.05	$106.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $128.38	Professional		$39.86	$39.86	$128.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $62.02 / $97.46	Facility		$58.29	$62.02	$97.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $88.60 / $146.19	Facility		$58.30	$88.60	$146.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $43.25	Professional		$39.86	$39.86	$43.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $59.81 / $80.43	Professional		$39.86	$59.81	$80.43