Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.23 / $165.88 / $195.15	Facility		$98.23	$165.88	$195.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $97.50 / $156.12	Professional		$71.09	$97.50	$156.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $113.01 / $182.00	Professional		$65.00	$113.01	$182.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $156.12 / $218.57	Facility		$95.07	$156.12	$218.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $307.62 / $367.58	Professional		$151.05	$307.62	$367.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $193.05 / $397.50	Professional		$131.85	$193.05	$397.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $156.12 / $218.57	Facility		$96.92	$156.12	$218.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $163.90 / $336.95	Professional		$100.00	$163.90	$336.95
United Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $165.00 / $314.80	Professional		$91.77	$165.00	$314.80