Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.02 / $144.02 / $144.02	Facility		$144.02	$144.02	$144.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $312.45	Professional		$129.69	$129.69	$312.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $129.94 / $207.78	Professional		$129.94	$129.94	$207.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $129.69 / $185.46	Facility		$66.97	$129.69	$185.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $340.20 / $439.60	Professional		$131.00	$340.20	$439.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $234.90 / $358.00	Professional		$202.50	$234.90	$358.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $129.69 / $185.46	Facility		$66.97	$129.69	$185.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $265.50 / $406.73	Professional		$82.50	$265.50	$406.73
United Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $166.66 / $300.63	Professional		$166.22	$166.66	$300.63