Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.53 / $112.53 / $113.29	Facility		$112.53	$112.53	$113.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $92.63 / $164.40	Professional		$92.01	$92.63	$164.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $61.38 / $138.69	Professional		$40.47	$61.38	$138.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $52.38 / $131.57	Facility		$52.03	$52.38	$131.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $117.42 / $290.79	Professional		$97.85	$117.42	$290.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $163.35 / $234.00	Professional		$147.50	$163.35	$234.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $62.44 / $131.57	Facility		$52.03	$62.44	$131.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $144.00 / $227.03	Professional		$49.64	$144.00	$227.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $115.36 / $249.05	Professional		$67.45	$115.36	$249.05