Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Facility		$123.40	$123.40	$123.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $224.52 / $279.23	Professional		$218.77	$224.52	$279.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $145.66 / $145.66	Professional		$145.66	$145.66	$145.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.83 / $224.52 / $321.06	Facility		$51.83	$224.52	$321.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $252.00 / $340.02	Professional		$97.05	$252.00	$340.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $174.00 / $272.80	Professional		$150.00	$174.00	$272.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.83 / $224.52 / $321.06	Facility		$51.83	$224.52	$321.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $180.00 / $274.29	Professional		$58.43	$180.00	$274.29
United Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $174.81 / $291.35	Professional		$103.09	$174.81	$291.35