Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $57.69 / $203.95	Facility		$33.49	$57.69	$203.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $58.16 / $75.19	Professional		$31.64	$58.16	$75.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $83.17	Facility		$83.17	$83.17	$83.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $100.69	Professional		$31.27	$31.27	$100.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $58.18 / $91.43	Facility		$46.32	$58.18	$91.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $81.88 / $135.10	Facility		$45.97	$81.88	$135.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $33.93	Professional		$31.27	$31.27	$33.93
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $46.91 / $63.08	Professional		$31.27	$46.91	$63.08