Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $423.15 / $528.71	Facility		$101.92	$423.15	$528.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $71.54 / $121.49	Professional		$33.50	$71.54	$121.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $78.86 / $274.79	Professional		$35.72	$78.86	$274.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $91.79 / $128.51	Facility		$46.81	$91.79	$128.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $100.64 / $114.68	Professional		$59.85	$100.64	$114.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $145.80 / $229.20	Professional		$62.68	$145.80	$229.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $91.79 / $128.51	Facility		$46.81	$91.79	$128.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $129.60 / $288.70	Professional		$54.50	$129.60	$288.70
United Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $106.72 / $192.01	Professional		$89.58	$106.72	$192.01