Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $43.46 / $153.65	Facility		$43.46	$43.46	$153.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $43.90 / $43.90	Professional		$26.99	$43.90	$43.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $62.78 / $62.78	Facility		$62.78	$62.78	$62.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $21.28 / $30.40	Professional		$21.28	$21.28	$30.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $45.53 / $71.54	Facility		$45.53	$45.53	$71.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $61.64 / $101.71	Facility		$43.15	$61.64	$101.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $27.64 / $30.40	Professional		$21.28	$27.64	$30.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $40.65 / $54.67	Professional		$27.10	$40.65	$54.67