Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $77.06 / $272.48	Facility		$42.56	$77.06	$272.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $46.38 / $78.42	Professional		$42.15	$46.38	$78.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $78.42 / $109.79	Facility		$42.58	$78.42	$109.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $84.32	Professional		$42.16	$42.16	$84.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $66.04 / $103.77	Facility		$61.84	$66.04	$103.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $56.60 / $56.60	Professional		$47.17	$56.60	$56.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $78.42 / $109.79	Facility		$42.16	$78.42	$109.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $48.54 / $56.04	Professional		$42.16	$48.54	$56.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $63.24 / $126.48	Professional		$44.69	$63.24	$126.48