Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $171.43 / $766.97	Facility		$31.51	$171.43	$766.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $37.36 / $41.10	Professional		$25.21	$37.36	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $47.32	Professional		$47.32	$47.32	$47.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $34.83 / $34.83	Facility		$34.83	$34.83	$34.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $120.33	Professional		$37.36	$37.36	$120.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $67.30 / $105.75	Facility		$50.54	$67.30	$105.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.36 / $24.36	Professional		$24.36	$24.36	$24.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $47.03 / $110.85	Facility		$34.83	$47.03	$110.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $40.54 / $47.32	Professional		$18.42	$40.54	$47.32
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $49.16	Professional		$42.25	$42.25	$49.16