Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $75.62 / $267.33	Facility		$50.15	$75.62	$267.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $76.45 / $107.05	Professional		$41.47	$76.45	$107.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $109.34 / $109.34	Facility		$109.34	$109.34	$109.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $132.37	Professional		$41.11	$41.11	$132.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $73.30 / $115.19	Facility		$62.83	$73.30	$115.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $104.72 / $172.79	Facility		$67.28	$104.72	$172.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $44.60	Professional		$41.11	$41.11	$44.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $61.67 / $82.93	Professional		$41.11	$61.67	$82.93