Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $101.86 / $101.86	Facility		$101.86	$101.86	$101.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.99 / $83.30	Professional		$39.60	$39.99	$83.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $87.58 / $131.35	Professional		$36.84	$87.58	$131.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $47.10 / $119.12	Facility		$47.10	$47.10	$119.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $109.00 / $260.32	Professional		$88.15	$109.00	$260.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $145.80 / $207.79	Professional		$133.75	$145.80	$207.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $56.52 / $119.12	Facility		$47.10	$56.52	$119.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $111.51 / $199.80	Professional		$44.36	$111.51	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $105.08 / $226.85	Professional		$38.97	$105.08	$226.85