Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.17 / $282.95 / $353.55	Facility		$68.17	$282.95	$353.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $27.35 / $61.38	Professional		$22.28	$27.35	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $31.73 / $184.83	Professional		$22.48	$31.73	$184.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $52.17 / $85.93	Facility		$31.56	$52.17	$85.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $67.84 / $77.31	Professional		$34.20	$67.84	$77.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $86.40 / $128.16	Professional		$39.60	$86.40	$128.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $48.07 / $85.93	Facility		$26.64	$48.07	$85.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $68.40 / $140.40	Professional		$28.34	$68.40	$140.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $71.78 / $129.82	Professional		$36.08	$71.78	$129.82