Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $99.15 / $132.19	Facility		$55.30	$99.15	$132.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $62.82 / $96.74	Professional		$48.63	$62.82	$96.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $77.00 / $114.00	Professional		$49.00	$77.00	$114.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $99.64 / $148.01	Facility		$65.02	$99.64	$148.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $194.07 / $229.89	Professional		$99.74	$194.07	$229.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $123.50 / $281.25	Professional		$82.80	$123.50	$281.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $99.64 / $148.01	Facility		$64.83	$99.64	$148.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $111.93 / $220.80	Professional		$65.20	$111.93	$220.80
United Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $91.73 / $197.54	Professional		$49.98	$91.73	$197.54