Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $123.03	Professional		$52.48	$70.79	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $199.53	Professional		$125.89	$125.89	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $173.78	Facility		$51.29	$66.07	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $354.81	Professional		$112.20	$131.83	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $323.59	Professional		$204.17	$204.17	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $177.83	Facility		$87.10	$125.89	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $199.53	Professional		$56.23	$60.26	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $288.40	Professional		$87.10	$162.18	$288.40