Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $111.51 / $174.23	Facility		$61.73	$111.51	$174.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $111.51 / $171.74	Professional		$101.55	$111.51	$171.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $41.06 / $41.06	Facility		$41.06	$41.06	$41.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Facility		$71.19	$71.19	$71.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $47.85	Professional		$14.86	$14.86	$47.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $54.98 / $59.44	Facility		$52.01	$54.98	$59.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $33.44 / $33.44	Professional		$13.37	$33.44	$33.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $54.98 / $71.19	Facility		$41.06	$54.98	$71.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Professional		$40.86	$40.86	$40.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.72 / $44.84	Professional		$14.86	$29.72	$44.84