Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $56.67 / $200.34	Facility		$37.14	$56.67	$200.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $71.73	Professional		$25.46	$25.46	$71.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $67.70 / $67.70	Facility		$67.70	$67.70	$67.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $81.98	Professional		$25.46	$25.46	$81.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $60.47 / $95.02	Facility		$49.60	$60.47	$95.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $67.70 / $142.53	Facility		$50.90	$67.70	$142.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $27.62	Professional		$25.46	$25.46	$27.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $38.19 / $76.38	Professional		$28.52	$38.19	$76.38