Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $129.13 / $201.78	Facility		$71.48	$129.13	$201.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $129.13 / $198.89	Professional		$117.61	$129.13	$198.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $47.56 / $47.56	Facility		$47.56	$47.56	$47.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Facility		$82.44	$82.44	$82.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $55.42	Professional		$17.21	$17.21	$55.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $63.68 / $68.84	Facility		$60.24	$63.68	$68.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.72 / $38.72	Professional		$15.49	$38.72	$38.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $63.68 / $82.44	Facility		$47.56	$63.68	$82.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $47.33 / $47.33	Professional		$17.21	$47.33	$47.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $34.42 / $51.93	Professional		$17.21	$34.42	$51.93