Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $125.29 / $270.08	Facility		$47.57	$125.29	$270.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $39.81 / $65.80	Professional		$37.50	$39.81	$65.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $100.73 / $228.05	Facility		$52.94	$100.73	$228.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.19 / $128.19	Professional		$39.81	$43.19	$128.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $78.98 / $124.12	Facility		$58.30	$78.98	$124.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $78.98 / $186.19	Facility		$52.94	$78.98	$186.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $43.19 / $54.60	Professional		$28.10	$43.19	$54.60
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $49.05 / $57.62	Professional		$49.05	$49.05	$57.62