Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $153.11 / $268.17	Facility		$49.43	$153.11	$268.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $73.79 / $85.00	Professional		$39.54	$73.79	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $73.79 / $237.60	Professional		$73.79	$73.79	$237.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $136.40 / $214.35	Facility		$108.08	$136.40	$214.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $171.25	Professional		$39.54	$39.54	$171.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $132.44 / $312.20	Facility		$56.56	$132.44	$312.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $80.06 / $171.25	Professional		$38.57	$80.06	$171.25
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $86.40 / $98.84	Professional		$84.94	$86.40	$98.84