Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $79.83 / $217.34	Facility		$35.28	$79.83	$217.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $47.00 / $90.70	Professional		$27.34	$47.00	$90.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $81.37	Professional		$25.27	$25.27	$81.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $69.73 / $109.58	Facility		$46.00	$69.73	$109.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $69.73 / $164.37	Facility		$45.42	$69.73	$164.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $27.42	Professional		$25.27	$25.27	$27.42
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $37.90 / $50.97	Professional		$25.27	$37.90	$50.97