Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $171.53 / $753.00	Facility		$38.54	$171.53	$753.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $93.42 / $528.92 / $972.71	Facility	50	$93.42	$528.92	$972.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $62.45 / $295.39	Professional		$31.35	$62.45	$295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $111.52 / $273.26	Professional		$69.00	$111.52	$273.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $136.10 / $413.56	Facility		$32.40	$136.10	$413.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $152.83 / $340.20	Professional		$64.18	$152.83	$340.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $193.80 / $350.00	Professional		$105.30	$193.80	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $149.71 / $413.56	Facility		$32.40	$149.71	$413.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $182.60 / $341.25	Professional		$84.55	$182.60	$341.25
United Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $276.12 / $347.12	Professional		$157.78	$276.12	$347.12