Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $129.93	Facility		$65.59	$65.59	$129.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $53.17 / $106.24	Professional		$23.59	$53.17	$106.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $58.70 / $155.97	Professional		$22.53	$58.70	$155.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $61.98 / $148.74	Facility		$29.81	$61.98	$148.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $99.17 / $179.20	Professional		$50.38	$99.17	$179.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $108.80 / $260.39	Professional		$47.60	$108.80	$260.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $61.98 / $148.74	Facility		$29.81	$61.98	$148.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $100.45 / $235.95	Professional		$39.04	$100.45	$235.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $131.38 / $303.14	Professional		$51.12	$131.38	$303.14