Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $140.60 / $453.45	Facility		$90.98	$140.60	$453.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.18 / $90.99	Professional		$14.40	$28.18	$90.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $84.66 / $117.60	Professional		$41.78	$84.66	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $67.52 / $130.12	Facility		$32.63	$67.52	$130.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $121.43 / $149.27	Professional		$66.00	$121.43	$149.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $3,495.87	Facility		$78.65	$78.65	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $90.50 / $168.75	Professional		$57.51	$90.50	$168.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $65.15 / $90.99	Facility		$28.04	$65.15	$90.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $84.66 / $119.00	Professional		$48.15	$84.66	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $126.10 / $176.54	Professional		$120.16	$126.10	$176.54