Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $63.55 / $673.44	Facility		$63.55	$63.55	$673.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $49.03 / $115.40	Professional		$16.96	$49.03	$115.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $74.73 / $188.24	Professional		$22.50	$74.73	$188.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $59.60 / $161.56	Facility		$22.78	$59.60	$161.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $122.08 / $256.11	Professional		$42.85	$122.08	$256.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $74.25 / $3,495.87	Facility		$74.25	$74.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $110.00 / $336.40	Professional		$45.93	$110.00	$336.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $58.72 / $161.56	Facility		$20.50	$58.72	$161.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $101.10 / $286.50	Professional		$38.90	$101.10	$286.50
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $162.40 / $336.98	Professional		$148.63	$162.40	$336.98