Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $89.13	Facility		$56.23	$81.28	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $102.33	Professional		$69.18	$69.18	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $147.91	Facility		$60.26	$104.71	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $128.82	Professional		$52.48	$69.18	$128.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $177.83	Facility		$114.82	$114.82	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Facility		$104.71	$104.71	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28