Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $96.48 / $158.26	Facility		$96.48	$96.48	$158.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $163.63 / $268.41	Professional		$29.49	$163.63	$268.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $131.29 / $243.20	Professional		$81.63	$131.29	$243.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $163.63 / $375.77	Facility		$39.11	$163.63	$375.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $159.28 / $327.60	Professional		$75.20	$159.28	$327.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $190.00 / $307.44	Professional		$116.25	$190.00	$307.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $180.00 / $375.77	Facility		$39.11	$180.00	$375.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $181.35 / $294.00	Professional		$70.78	$181.35	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $240.80 / $302.72	Professional		$137.60	$240.80	$302.72