Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $58.18 / $205.70	Facility		$58.18	$58.18	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $58.77 / $58.77	Professional		$36.13	$58.77	$58.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $84.04 / $84.04	Facility		$84.04	$84.04	$84.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $55.43 / $87.10	Facility		$55.43	$55.43	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $79.18 / $130.65	Facility		$55.43	$79.18	$130.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $59.85 / $80.48	Professional		$39.90	$59.85	$80.48