Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $135.43 / $478.80	Facility		$73.59	$135.43	$478.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $81.33 / $137.52	Professional		$62.36	$81.33	$137.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $137.52 / $192.53	Facility		$74.67	$137.52	$192.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $147.88	Professional		$73.94	$73.94	$147.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $111.78 / $175.65	Facility		$106.21	$111.78	$175.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $95.81 / $95.81	Professional		$79.84	$95.81	$95.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $137.52 / $192.53	Facility		$73.94	$137.52	$192.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $84.44 / $95.81	Professional		$73.94	$84.44	$95.81
United Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $110.91 / $221.82	Professional		$78.38	$110.91	$221.82