Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $416.87 / $707.95	Facility		$85.11	$416.87	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $194.98	Professional		$45.71	$56.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $63.10 / $63.10	Facility		$57.54	$63.10	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $234.42	Professional		$57.54	$57.54	$234.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $223.87 / $371.54	Facility		$204.17	$223.87	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $131.83	Professional		$107.15	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $114.82 / $173.78	Professional		$36.31	$114.82	$173.78