Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $400.26 / $680.05	Facility		$85.84	$400.26	$680.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $194.30 / $372.94	Professional		$194.30	$194.30	$372.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $62.76 / $62.76	Facility		$62.76	$62.76	$62.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $232.00	Professional		$58.00	$58.00	$232.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $223.30 / $374.08	Facility		$203.00	$223.30	$374.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $130.50 / $130.50	Professional		$52.20	$130.50	$130.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $62.76 / $203.00	Facility		$62.76	$62.76	$203.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $74.97 / $83.78	Professional		$58.00	$74.97	$83.78
United Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $116.00 / $175.00	Professional		$36.46	$116.00	$175.00