Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $524.81 / $524.81	Facility		$85.11	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $97.72	Professional		$79.43	$79.43	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $128.82	Facility		$77.62	$81.28	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $199.53	Professional		$81.28	$97.72	$199.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $213.80	Facility		$79.43	$134.90	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $117.49	Professional		$97.72	$117.49	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $144.54	Facility		$50.12	$89.13	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $223.87	Professional		$79.43	$120.23	$223.87