Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $89.17 / $315.25	Facility		$54.13	$89.17	$315.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $91.20 / $112.88	Professional		$48.91	$91.20	$112.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $130.41 / $130.41	Facility		$130.41	$130.41	$130.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $157.88	Professional		$49.03	$49.03	$157.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $79.87 / $125.51	Facility		$74.59	$79.87	$125.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $114.10 / $188.27	Facility		$75.58	$114.10	$188.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $53.20	Professional		$49.03	$49.03	$53.20
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $73.55 / $98.90	Professional		$49.03	$73.55	$98.90