Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $158.49	Facility		$50.12	$61.66	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $69.18	Professional		$58.88	$66.07	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $158.49	Facility		$50.12	$64.57	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $72.44	Professional		$60.26	$64.57	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $165.96	Facility		$102.33	$104.71	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43