Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.36 / $120.16 / $424.80	Facility		$69.36	$120.16	$424.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $72.59 / $122.76	Professional		$65.91	$72.59	$122.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $122.76 / $171.86	Facility		$66.66	$122.76	$171.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $132.00	Professional		$66.00	$66.00	$132.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.93 / $113.54 / $178.42	Facility		$96.93	$113.54	$178.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $97.32 / $97.32	Professional		$81.09	$97.32	$97.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $122.76 / $171.86	Facility		$66.00	$122.76	$171.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $78.11 / $94.94	Professional		$66.00	$78.11	$94.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $99.00 / $198.00	Professional		$66.00	$99.00	$198.00