Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $426.58 / $575.44	Facility		$104.71	$426.58	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $100.00	Professional		$34.67	$48.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $151.36	Professional		$37.15	$58.88	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $128.82	Facility		$38.02	$64.57	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $169.82	Professional		$42.66	$102.33	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $218.78	Professional		$87.10	$144.54	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $70.79 / $165.96	Facility		$38.02	$70.79	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $151.36	Professional		$37.15	$60.26	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $107.15 / $190.55	Professional		$37.15	$107.15	$190.55