Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.84 / $93.84 / $93.84	Facility		$93.84	$93.84	$93.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.90 / $103.36	Professional		$33.88	$40.90	$103.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $93.96 / $104.06	Professional		$93.96	$93.96	$104.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $103.36 / $147.80	Facility		$39.79	$103.36	$147.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $104.17 / $221.60	Professional		$37.20	$104.17	$221.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $145.00 / $203.39	Professional		$125.00	$145.00	$203.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $103.36 / $147.80	Facility		$39.79	$103.36	$147.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $136.50 / $218.55	Professional		$43.70	$136.50	$218.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $84.20 / $136.66	Professional		$83.26	$84.20	$136.66