Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.82 / $84.82 / $299.88	Facility		$84.82	$84.82	$299.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $85.68 / $85.68	Professional		$52.68	$85.68	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $122.52 / $122.52	Facility		$122.52	$122.52	$122.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $28.26 / $40.38	Professional		$28.26	$28.26	$40.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $88.86 / $139.63	Facility		$88.86	$88.86	$139.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $122.52 / $209.45	Facility		$88.86	$122.52	$209.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $40.38 / $53.95	Professional		$28.26	$40.38	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $79.34 / $106.69	Professional		$52.89	$79.34	$106.69