Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $234.26 / $2,608.69	Facility		$66.26	$234.26	$2,608.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $66.93 / $66.93	Professional		$41.15	$66.93	$66.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.71 / $95.71 / $95.71	Facility		$95.71	$95.71	$95.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $27.08	Professional		$18.95	$18.95	$27.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $55.13 / $86.64	Facility		$55.13	$55.13	$86.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $78.76 / $129.94	Facility		$55.13	$78.76	$129.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $27.08 / $42.14	Professional		$18.95	$27.08	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $61.97 / $83.33	Professional		$41.31	$61.97	$83.33