Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $342.09 / $342.09	Facility		$96.76	$342.09	$342.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $97.74	Professional		$57.92	$60.09	$97.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $97.74 / $139.77	Facility		$61.54	$97.74	$139.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $76.95 / $76.95	Professional		$53.87	$76.95	$76.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.36 / $101.36 / $159.28	Facility		$101.36	$101.36	$159.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $86.88 / $86.88	Professional		$72.40	$86.88	$86.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $97.74 / $144.80	Facility		$61.54	$97.74	$144.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $72.41 / $86.88	Professional		$61.54	$72.41	$86.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $90.51 / $181.02	Professional		$63.96	$90.51	$181.02