Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.63 / $96.63 / $171.95	Facility		$96.63	$96.63	$171.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $67.23 / $291.63	Professional		$29.57	$67.23	$291.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $139.74 / $269.43	Professional		$82.99	$139.74	$269.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $163.90 / $408.28	Facility		$38.29	$163.90	$408.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $164.32 / $391.95	Professional		$86.45	$164.32	$391.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $198.00 / $362.70	Professional		$126.10	$198.00	$362.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $180.29 / $408.28	Facility		$41.18	$180.29	$408.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $192.00 / $362.70	Professional		$82.99	$192.00	$362.70
United Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $273.67 / $344.04	Professional		$156.38	$273.67	$344.04