Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $122.25 / $293.56	Facility		$44.97	$122.25	$293.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $56.83 / $136.91	Professional		$44.97	$56.83	$136.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $97.80 / $136.91	Facility		$56.83	$97.80	$136.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $159.15 / $247.52	Professional		$132.63	$159.15	$247.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.05 / $220.05 / $3,495.87	Facility		$220.05	$220.05	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $205.00 / $292.74	Professional		$105.70	$205.00	$292.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $97.80 / $136.91	Facility		$40.71	$97.80	$136.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $135.59 / $267.30	Professional		$51.87	$135.59	$267.30
United Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $150.66 / $301.32	Professional		$84.20	$150.66	$301.32