Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $125.11 / $152.47	Facility		$83.00	$125.11	$152.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $88.06 / $122.63	Professional		$61.81	$88.06	$122.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $62.00 / $210.97	Professional		$42.00	$62.00	$210.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $125.03 / $172.89	Facility		$81.78	$125.03	$172.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $245.52 / $291.94	Professional		$124.90	$245.52	$291.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $157.94 / $357.50	Professional		$105.56	$157.94	$357.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $126.93 / $170.77	Facility		$81.78	$126.93	$170.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $146.60 / $296.10	Professional		$69.59	$146.60	$296.10
United Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $223.40 / $386.72	Professional		$88.11	$223.40	$386.72