Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $159.06 / $187.14	Facility		$94.51	$159.06	$187.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $95.94 / $149.71	Professional		$68.95	$95.94	$149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $92.00 / $175.00	Professional		$62.87	$92.00	$175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $149.71 / $209.59	Facility		$90.93	$149.71	$209.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $294.99 / $352.50	Professional		$145.35	$294.99	$352.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $186.55 / $381.25	Professional		$126.90	$186.55	$381.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.05 / $149.71 / $209.59	Facility		$93.05	$149.71	$209.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $163.00 / $324.30	Professional		$92.00	$163.00	$324.30
United Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $165.00 / $294.80	Professional		$88.21	$165.00	$294.80