Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $66.13 / $233.80	Facility		$27.89	$66.13	$233.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $66.13 / $83.72	Professional		$36.27	$66.13	$83.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $94.57 / $94.57	Facility		$94.57	$94.57	$94.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $114.47	Professional		$35.54	$35.54	$114.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $53.94 / $84.77	Facility		$53.94	$53.94	$84.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $77.06 / $127.15	Facility		$53.94	$77.06	$127.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $38.57	Professional		$35.54	$35.54	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $53.33 / $71.70	Professional		$35.54	$53.33	$71.70