Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $370.12 / $827.15	Facility		$73.95	$370.12	$827.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $45.16 / $96.05	Professional		$40.64	$45.16	$96.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $41.20 / $108.12	Facility		$41.20	$41.20	$108.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $73.78	Professional		$40.65	$40.65	$73.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $269.99 / $424.27	Facility		$62.80	$269.99	$424.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $212.14 / $231.42	Professional		$192.85	$212.14	$231.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $75.61 / $385.70	Facility		$40.65	$75.61	$385.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $49.60 / $73.31	Professional		$40.65	$49.60	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $60.98 / $82.00	Professional		$42.68	$60.98	$82.00