Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $343.35 / $429.01	Facility		$82.71	$343.35	$429.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $36.32 / $74.48	Professional		$27.21	$36.32	$74.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $40.09 / $223.29	Professional		$27.12	$40.09	$223.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $64.52 / $104.27	Facility		$37.92	$64.52	$104.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $81.61 / $92.90	Professional		$41.33	$81.61	$92.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $104.40 / $159.21	Professional		$48.72	$104.40	$159.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $64.52 / $104.27	Facility		$34.61	$64.52	$104.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $75.98 / $168.00	Professional		$38.88	$75.98	$168.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $86.72 / $130.83	Professional		$54.12	$86.72	$130.83