Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $103.35 / $103.35	Facility		$103.35	$103.35	$103.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $118.97 / $229.55	Professional		$49.08	$118.97	$229.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $50.96 / $98.64	Professional		$40.13	$50.96	$98.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.28 / $102.67 / $160.47	Facility		$56.28	$102.67	$160.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $174.56 / $251.00	Professional		$98.14	$174.56	$251.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $149.60 / $313.75	Professional		$74.80	$149.60	$313.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $114.46 / $275.45	Facility		$39.29	$114.46	$275.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $130.35 / $278.30	Professional		$56.80	$130.35	$278.30
United Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $191.41 / $328.34	Professional		$65.52	$191.41	$328.34