Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.93 / $334.27 / $411.75	Facility		$126.93	$334.27	$411.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $49.36 / $73.79	Professional		$39.77	$49.36	$73.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $52.57 / $101.55	Professional		$31.44	$52.57	$101.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $73.79 / $105.52	Facility		$38.97	$73.79	$105.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $101.88 / $197.46	Professional		$83.79	$101.88	$197.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $140.40 / $176.70	Professional		$103.40	$140.40	$176.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $73.79 / $105.52	Facility		$38.97	$73.79	$105.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $98.98 / $170.29	Professional		$39.63	$98.98	$170.29
United Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $81.23 / $132.02	Professional		$56.77	$81.23	$132.02