Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $77.48 / $160.40	Facility		$77.48	$77.48	$160.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $124.93 / $258.63	Professional		$32.04	$124.93	$258.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $92.20 / $168.86	Professional		$92.20	$92.20	$168.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $174.90 / $362.08	Facility		$32.24	$174.90	$362.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $176.04 / $369.44	Professional		$65.55	$176.04	$369.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $172.50 / $296.30	Professional		$102.60	$172.50	$296.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $174.90 / $362.08	Facility		$32.24	$174.90	$362.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $151.69 / $288.75	Professional		$55.97	$151.69	$288.75
United Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $202.62 / $267.58	Professional		$116.34	$202.62	$267.58