Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $79.54	Facility		$57.54	$57.54	$79.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $110.53 / $152.79	Professional		$17.78	$110.53	$152.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $66.33 / $88.52	Professional		$66.33	$66.33	$88.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $152.79 / $213.91	Facility		$23.91	$152.79	$213.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $115.50 / $185.68	Professional		$44.48	$115.50	$185.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $103.90 / $150.06	Professional		$68.75	$103.90	$150.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $152.79 / $213.91	Facility		$23.91	$152.79	$213.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $102.50 / $171.38	Professional		$35.63	$102.50	$171.38
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $106.23 / $204.00	Professional		$70.20	$106.23	$204.00