Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $68.72 / $414.00	Facility		$68.72	$68.72	$414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $61.72 / $155.65	Professional		$25.30	$61.72	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $90.19 / $219.40	Professional		$31.89	$90.19	$219.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $86.41 / $217.91	Facility		$33.88	$86.41	$217.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $143.99 / $282.24	Professional		$62.28	$143.99	$282.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.35 / $109.35 / $3,495.87	Facility		$109.35	$109.35	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $147.56 / $379.75	Professional		$65.97	$147.56	$379.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $86.41 / $217.91	Facility		$30.49	$86.41	$217.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $122.60 / $325.50	Professional		$56.25	$122.60	$325.50
United Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $189.24 / $378.48	Professional		$188.78	$189.24	$378.48