Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $75.19 / $118.29	Professional		$35.45	$75.19	$118.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.73 / $37.60 / $59.15	Professional	52	$17.73	$37.60	$59.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $36.15 / $64.06	Professional		$23.79	$36.15	$64.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $57.75 / $141.94	Facility		$41.12	$57.75	$141.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $109.82 / $151.83	Professional		$93.27	$109.82	$151.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $130.05 / $170.50	Professional		$54.38	$130.05	$170.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $62.51 / $141.94	Facility		$35.40	$62.51	$141.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $89.69 / $223.50	Professional		$38.86	$89.69	$223.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $104.82 / $198.32	Professional		$36.40	$104.82	$198.32