Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.34 / $64.98 / $78.54	Facility		$57.34	$64.98	$78.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $45.87 / $105.75	Professional		$21.50	$45.87	$105.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $59.74 / $116.81	Professional		$29.08	$59.74	$116.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $61.16 / $87.96	Facility		$30.92	$61.16	$87.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $89.13 / $165.99	Professional		$71.98	$89.13	$165.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.55 / $84.55 / $3,495.87	Facility		$84.55	$84.55	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $87.40 / $115.00	Professional		$63.05	$87.40	$115.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $61.16 / $87.96	Facility		$29.84	$61.16	$87.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $80.86 / $116.40	Professional		$45.91	$80.86	$116.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $96.26 / $117.60	Professional		$75.86	$96.26	$117.60