Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $50.04 / $81.98	Professional		$34.79	$50.04	$81.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.39 / $25.02 / $40.99	Professional	52	$17.39	$25.02	$40.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $38.22 / $118.93	Professional		$26.65	$38.22	$118.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $61.17 / $86.35	Facility		$31.10	$61.17	$86.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $94.37 / $137.79	Professional		$61.55	$94.37	$137.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $66.95 / $154.61	Professional		$47.50	$66.95	$154.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $61.17 / $86.35	Facility		$32.42	$61.17	$86.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $64.17 / $162.00	Professional		$38.22	$64.17	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $94.52 / $102.70	Professional		$36.01	$94.52	$102.70