Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $45.41 / $160.55	Facility		$45.41	$45.41	$160.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $45.87 / $78.52	Professional		$28.20	$45.87	$78.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $65.59	Facility		$65.59	$65.59	$65.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $47.57 / $74.76	Facility		$47.57	$47.57	$74.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $65.59 / $112.13	Facility		$47.57	$65.59	$112.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $42.48 / $57.13	Professional		$28.32	$42.48	$57.13