Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $124.91	Facility		$96.58	$96.58	$124.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $42.44 / $70.51	Professional		$31.57	$42.44	$70.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $124.34 / $163.63	Professional		$39.69	$124.34	$163.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $47.10 / $100.83	Facility		$32.47	$47.10	$100.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $126.15 / $164.00	Professional		$66.50	$126.15	$164.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $93.80 / $140.00	Professional		$52.53	$93.80	$140.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $54.30 / $104.88	Facility		$33.78	$54.30	$104.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $94.76 / $164.80	Professional		$48.42	$94.76	$164.80
United Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $130.90 / $164.74	Professional		$120.28	$130.90	$164.74