Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $86.01 / $86.01	Facility		$86.01	$86.01	$86.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $156.49 / $193.31	Professional		$151.79	$156.49	$193.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $100.96 / $100.96	Professional		$100.96	$100.96	$100.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $156.49 / $223.78	Facility		$35.82	$156.49	$223.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $145.25 / $200.48	Professional		$67.13	$145.25	$200.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $120.35 / $189.20	Professional		$103.75	$120.35	$189.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $156.49 / $223.78	Facility		$35.82	$156.49	$223.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $124.50 / $191.78	Professional		$40.85	$124.50	$191.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $121.14 / $201.90	Professional		$72.18	$121.14	$201.90