Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.19 / $134.80 / $381.36	Facility		$74.19	$134.80	$381.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $72.91 / $115.73	Professional		$47.26	$72.91	$115.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $84.63 / $117.60	Professional		$45.45	$84.63	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $93.69 / $110.22	Facility		$60.55	$93.69	$110.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $130.18 / $162.96	Professional		$68.64	$130.18	$162.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $86.35 / $3,495.87	Facility		$86.35	$86.35	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $97.65 / $187.50	Professional		$72.00	$97.65	$187.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $93.69 / $110.22	Facility		$56.76	$93.69	$110.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $89.05 / $128.58	Professional		$51.93	$89.05	$128.58
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $133.62 / $187.07	Professional		$122.82	$133.62	$187.07