Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $58.10 / $205.42	Facility		$58.10	$58.10	$205.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $59.93 / $73.55	Professional		$31.87	$59.93	$73.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $85.70 / $85.70	Facility		$85.70	$85.70	$85.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $103.75	Professional		$32.22	$32.22	$103.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $93.74 / $147.31	Facility		$93.74	$93.74	$147.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $93.74 / $220.97	Facility		$85.70	$93.74	$220.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $34.95	Professional		$32.22	$32.22	$34.95
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $48.33 / $64.98	Professional		$32.22	$48.33	$64.98