Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $56.93 / $87.40	Facility		$56.93	$56.93	$87.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $96.55 / $148.22	Professional		$17.23	$96.55	$148.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $75.92 / $130.53	Professional		$49.23	$75.92	$130.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $96.55 / $207.51	Facility		$23.06	$96.55	$207.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $85.38 / $171.60	Professional		$42.85	$85.38	$171.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $108.75 / $168.43	Professional		$66.25	$108.75	$168.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $106.21 / $207.51	Facility		$23.06	$106.21	$207.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $105.30 / $167.70	Professional		$41.33	$105.30	$167.70
United Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $141.93 / $178.42	Professional		$79.31	$141.93	$178.42