Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $138.22 / $442.14	Facility		$39.10	$138.22	$442.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $39.49 / $72.80	Professional		$21.44	$39.49	$72.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.47 / $56.47 / $56.47	Facility		$56.47	$56.47	$56.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $68.36	Professional		$21.23	$21.23	$68.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $46.47 / $73.02	Facility		$46.47	$46.47	$73.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $56.47 / $109.53	Facility		$46.47	$56.47	$109.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $28.21	Professional		$23.03	$23.03	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $31.85 / $42.83	Professional		$21.23	$31.85	$42.83