Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $76.23 / $269.54	Facility		$45.17	$76.23	$269.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $79.01 / $96.52	Professional		$41.82	$79.01	$96.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $112.98 / $112.98	Facility		$112.98	$112.98	$112.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $136.79	Professional		$42.48	$42.48	$136.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $74.72 / $117.41	Facility		$65.39	$74.72	$117.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $103.62 / $170.97	Facility		$63.30	$103.62	$170.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $46.08	Professional		$42.48	$42.48	$46.08
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $63.72 / $85.69	Professional		$42.48	$63.72	$85.69