Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $55.47 / $159.18	Facility		$45.03	$55.47	$159.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.83 / $57.00	Professional		$24.69	$29.83	$57.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $79.38 / $79.38	Facility		$79.38	$79.38	$79.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $96.08	Professional		$29.84	$29.84	$96.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $124.50 / $195.65	Facility		$46.32	$124.50	$195.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $124.50 / $293.47	Facility		$63.92	$124.50	$293.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $32.36	Professional		$29.84	$29.84	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $44.76 / $60.19	Professional		$29.84	$44.76	$60.19