Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $101.83 / $360.01	Facility		$55.18	$101.83	$360.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $61.02 / $103.18	Professional		$48.23	$61.02	$103.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $103.18 / $147.55	Facility		$56.03	$103.18	$147.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $110.94	Professional		$55.47	$55.47	$110.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $86.18 / $135.43	Facility		$81.73	$86.18	$135.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $73.87 / $73.87	Professional		$61.56	$73.87	$73.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $103.18 / $147.55	Facility		$55.47	$103.18	$147.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $63.35 / $71.70	Professional		$55.47	$63.35	$71.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $83.21 / $166.41	Professional		$58.80	$83.21	$166.41