Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $302.32 / $377.74	Facility		$72.83	$302.32	$377.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.26 / $81.97	Professional		$23.54	$37.26	$81.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $33.52 / $199.43	Professional		$24.36	$33.52	$199.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $65.58 / $91.81	Facility		$28.16	$65.58	$91.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $71.72 / $81.73	Professional		$37.04	$71.72	$81.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $93.60 / $137.25	Professional		$42.00	$93.60	$137.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $65.58 / $91.81	Facility		$28.16	$65.58	$91.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $74.09 / $152.10	Professional		$29.94	$74.09	$152.10
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $78.26 / $141.54	Professional		$41.92	$78.26	$141.54