Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $512.86	Facility		$109.65	$173.78	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $47.86	Professional		$28.84	$30.20	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $109.65 / $512.86	Facility		$48.98	$109.65	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $60.26	Professional		$23.99	$33.11	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Facility		$50.12	$50.12	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $69.18	Facility		$48.98	$48.98	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $60.26	Professional		$22.91	$30.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $83.18	Professional		$30.20	$44.67	$83.18