Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $101.56 / $359.07	Facility		$58.00	$101.56	$359.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.60 / $125.21	Professional		$102.59	$102.60	$125.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $55.16	Professional		$54.58	$55.16	$55.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $57.92	Facility		$57.92	$57.92	$57.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $137.90	Professional		$55.16	$55.16	$137.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $87.28 / $137.15	Facility		$51.74	$87.28	$137.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $68.56 / $74.81	Professional		$51.74	$68.56	$74.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $124.68	Facility		$57.92	$57.92	$124.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $59.85 / $68.56	Professional		$54.58	$59.85	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $82.74 / $165.48	Professional		$77.22	$82.74	$165.48