Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $98.34 / $347.66	Facility		$49.89	$98.34	$347.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $63.26 / $106.96	Professional		$44.94	$63.26	$106.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $106.96 / $149.74	Facility		$2.74	$106.96	$149.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $115.02	Professional		$57.51	$57.51	$115.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $88.56 / $139.16	Facility		$76.91	$88.56	$139.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $75.91 / $75.91	Professional		$63.26	$75.91	$75.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $106.75 / $149.74	Facility		$6.58	$106.75	$149.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $61.48 / $75.91	Professional		$56.19	$61.48	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $86.27 / $145.81	Professional		$57.51	$86.27	$145.81