Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $52.52 / $185.68	Facility		$30.57	$52.52	$185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $53.34 / $66.48	Professional		$28.81	$53.34	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.28 / $76.28 / $76.28	Facility		$76.28	$76.28	$76.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $92.35	Professional		$28.68	$28.68	$92.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $48.75 / $76.59	Facility		$43.07	$48.75	$76.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $69.64 / $114.91	Facility		$42.45	$69.64	$114.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $31.12	Professional		$28.68	$28.68	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $43.02 / $57.85	Professional		$28.68	$43.02	$57.85