Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $128.59 / $454.62	Facility		$68.95	$128.59	$454.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $78.51 / $132.75	Professional		$68.95	$78.51	$132.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $132.75 / $185.85	Facility		$72.08	$132.75	$185.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $142.74	Professional		$71.37	$71.37	$142.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $123.54 / $194.13	Facility		$98.59	$123.54	$194.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $105.89 / $105.89	Professional		$88.24	$105.89	$105.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $132.75 / $185.85	Facility		$71.37	$132.75	$185.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $78.14 / $102.41	Professional		$71.37	$78.14	$102.41
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $107.06 / $214.11	Professional		$75.65	$107.06	$214.11