Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $401.49 / $501.64	Facility		$96.73	$401.49	$501.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $51.25 / $118.81	Professional		$32.74	$51.25	$118.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $59.45 / $259.48	Professional		$33.72	$59.45	$259.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $87.09 / $124.54	Facility		$45.09	$87.09	$124.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $105.00 / $155.00	Professional		$64.48	$105.00	$155.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $136.80 / $227.46	Professional		$59.23	$136.80	$227.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $87.09 / $124.54	Facility		$48.43	$87.09	$124.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $113.30 / $237.60	Professional		$48.45	$113.30	$237.60
United Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $133.04 / $240.62	Professional		$76.41	$133.04	$240.62