Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $341.99 / $341.99	Facility		$96.73	$341.99	$341.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $97.71	Professional		$57.90	$60.08	$97.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $97.71 / $139.72	Facility		$61.52	$97.71	$139.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $81.23 / $81.23	Professional		$56.86	$81.23	$81.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $101.33 / $159.24	Facility		$101.33	$101.33	$159.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $86.86 / $86.86	Professional		$72.38	$86.86	$86.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $97.71 / $144.76	Facility		$79.62	$97.71	$144.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $70.94 / $89.91	Professional		$61.52	$70.94	$89.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $90.48 / $168.08	Professional		$60.32	$90.48	$168.08