Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $158.41 / $592.03	Facility		$158.41	$158.41	$592.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $126.74	Professional		$84.48	$84.49	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.24 / $181.24 / $181.24	Facility		$181.24	$181.24	$181.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $86.45 / $123.50	Professional		$86.45	$86.45	$123.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $139.16 / $218.68	Facility		$139.16	$139.16	$218.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $181.24 / $328.02	Facility		$139.16	$181.24	$328.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $92.77 / $123.50	Professional		$86.45	$92.77	$123.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $130.53	Professional		$82.83	$82.83	$130.53