Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $131.83	Facility		$54.95	$100.00	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $89.13	Professional		$51.29	$64.57	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $114.82	Professional		$48.98	$74.13	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $117.49	Facility		$61.66	$74.13	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $251.19	Professional		$53.70	$120.23	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $257.04	Professional		$89.13	$125.89	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $123.03	Facility		$61.66	$75.86	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $181.97	Professional		$50.12	$83.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $338.84	Professional		$52.48	$93.33	$338.84