Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $111.53 / $145.05	Facility		$71.09	$111.53	$145.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $67.55 / $104.97	Professional		$52.38	$67.55	$104.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $64.65 / $136.99	Professional		$39.00	$64.65	$136.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.33 / $104.97 / $146.96	Facility		$68.33	$104.97	$146.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $206.70 / $252.75	Professional		$100.00	$206.70	$252.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $123.90 / $284.80	Professional		$88.50	$123.90	$284.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $104.97 / $146.96	Facility		$68.37	$104.97	$146.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $110.40 / $220.80	Professional		$55.00	$110.40	$220.80
United Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $110.00 / $198.36	Professional		$59.51	$110.00	$198.36