Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.26 / $167.62 / $222.53	Facility		$111.26	$167.62	$222.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $105.56	Professional		$70.37	$70.38	$105.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Facility		$150.94	$150.94	$150.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $226.62	Professional		$70.38	$70.38	$226.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $115.39 / $181.32	Facility		$115.39	$115.39	$181.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $150.94 / $264.13	Facility		$112.06	$150.94	$264.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $80.88 / $170.00	Professional		$76.34	$80.88	$170.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $72.23 / $86.54	Professional		$72.23	$72.23	$86.54