Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $103.29 / $365.16	Facility		$64.67	$103.29	$365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $93.68 / $130.76	Professional		$55.95	$93.68	$130.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $133.96 / $133.96	Facility		$133.96	$133.96	$133.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $162.19	Professional		$50.37	$50.37	$162.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $103.64 / $162.87	Facility		$90.59	$103.64	$162.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.56 / $133.96 / $244.30	Facility		$90.56	$133.96	$244.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $54.64	Professional		$50.37	$50.37	$54.64
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $75.56 / $151.11	Professional		$56.07	$75.56	$151.11