Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.44 / $93.44 / $271.87	Facility		$93.44	$93.44	$271.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $98.24 / $285.83	Professional		$33.50	$98.24	$285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $109.88 / $342.68	Professional		$48.12	$109.88	$342.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $108.72 / $168.02	Facility		$40.36	$108.72	$168.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $285.08 / $842.77	Professional		$81.50	$285.08	$842.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $188.00 / $554.85	Professional		$117.50	$188.00	$554.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $140.02 / $391.60	Facility		$40.36	$140.02	$391.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $176.70 / $413.28	Professional		$77.38	$176.70	$413.28
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $191.48 / $287.22	Professional		$121.26	$191.48	$287.22