Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $92.90 / $328.44	Facility		$50.98	$92.90	$328.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $57.73 / $97.62	Professional		$45.04	$57.73	$97.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $97.62 / $139.60	Facility		$53.01	$97.62	$139.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $104.98	Professional		$52.49	$52.49	$104.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $79.37 / $124.72	Facility		$74.56	$79.37	$124.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $68.03 / $68.03	Professional		$56.69	$68.03	$68.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $97.62 / $139.60	Facility		$52.49	$97.62	$139.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $57.85 / $66.84	Professional		$52.49	$57.85	$66.84
United Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $78.73 / $157.47	Professional		$55.64	$78.73	$157.47