Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $302.05 / $377.40	Facility		$72.77	$302.05	$377.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $46.42 / $65.52	Professional		$36.10	$46.42	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $60.70 / $97.30	Professional		$37.21	$60.70	$97.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $65.52 / $93.69	Facility		$33.72	$65.52	$93.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $72.78 / $173.37	Professional		$60.65	$72.78	$173.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $107.37 / $145.08	Professional		$93.75	$107.37	$145.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $65.52 / $93.69	Facility		$56.49	$65.52	$93.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $90.00 / $144.30	Professional		$34.83	$90.00	$144.30
United Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $77.84 / $140.78	Professional		$63.56	$77.84	$140.78