Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $93.27 / $157.72	Facility		$56.69	$93.27	$157.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $49.48 / $110.26	Professional		$45.72	$49.48	$110.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $48.10 / $77.45	Professional		$35.36	$48.10	$77.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $64.01 / $69.27	Facility		$45.72	$64.01	$69.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $57.24 / $65.00	Professional		$47.32	$57.24	$65.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $79.65 / $94.25	Professional		$47.50	$79.65	$94.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $64.01 / $69.27	Facility		$45.72	$64.01	$69.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $67.83 / $134.82	Professional		$34.54	$67.83	$134.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $61.96 / $93.47	Professional		$24.32	$61.96	$93.47