Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $218.85 / $218.85	Facility		$218.85	$218.85	$218.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $91.00 / $241.03	Professional		$72.01	$91.00	$241.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $135.30 / $256.39	Professional		$82.24	$135.30	$256.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $241.03 / $344.67	Facility		$89.87	$241.03	$344.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $213.48 / $385.00	Professional		$78.59	$213.48	$385.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $319.00 / $462.00	Professional		$275.00	$319.00	$462.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $241.03 / $344.67	Facility		$89.87	$241.03	$344.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $234.06 / $444.00	Professional		$94.30	$234.06	$444.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $256.39 / $435.88	Professional		$112.27	$256.39	$435.88