Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $85.40 / $123.47	Facility		$85.40	$85.40	$123.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $144.83 / $209.41	Professional		$26.10	$144.83	$209.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $104.67 / $183.83	Professional		$73.54	$104.67	$183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $144.83 / $293.17	Facility		$34.84	$144.83	$293.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $128.10 / $257.39	Professional		$67.13	$128.10	$257.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $165.00 / $250.00	Professional		$103.75	$165.00	$250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $159.31 / $293.17	Facility		$34.84	$159.31	$293.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $157.69 / $243.75	Professional		$62.25	$157.69	$243.75
United Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $198.31 / $249.30	Professional		$113.32	$198.31	$249.30