Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $54.48 / $81.54	Facility		$54.48	$54.48	$81.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $41.89 / $138.31	Professional		$20.92	$41.89	$138.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.62 / $62.62 / $62.62	Professional	50	$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $69.31 / $121.18	Professional		$47.08	$69.31	$121.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $92.39 / $193.63	Facility		$21.77	$92.39	$193.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $82.47 / $165.75	Professional		$42.05	$82.47	$165.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $104.00 / $154.72	Professional		$65.00	$104.00	$154.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $101.63 / $193.63	Facility		$21.77	$101.63	$193.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $101.40 / $146.25	Professional		$39.00	$101.40	$146.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $131.46 / $165.26	Professional		$72.18	$131.46	$165.26