Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $95.82 / $338.77	Facility		$53.71	$95.82	$338.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $57.72 / $97.60	Professional		$47.12	$57.72	$97.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $97.60 / $136.63	Facility		$53.00	$97.60	$136.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $104.94	Professional		$52.47	$52.47	$104.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.89 / $82.52 / $129.66	Facility		$75.89	$82.52	$129.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $70.73 / $70.73	Professional		$58.94	$70.73	$70.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $97.60 / $136.63	Facility		$52.47	$97.60	$136.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $60.11 / $69.17	Professional		$52.47	$60.11	$69.17
United Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $78.70 / $157.41	Professional		$55.62	$78.70	$157.41