Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $70.26 / $70.26	Facility		$70.26	$70.26	$70.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $63.28	Professional		$44.56	$44.56	$63.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $98.62 / $154.40	Professional		$98.62	$98.62	$154.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $63.28 / $90.49	Facility		$32.69	$63.28	$90.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $168.00 / $213.85	Professional		$64.70	$168.00	$213.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $116.00 / $268.00	Professional		$100.00	$116.00	$268.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $63.28 / $90.49	Facility		$32.69	$63.28	$90.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $193.50 / $299.33	Professional		$40.14	$193.50	$299.33
United Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $124.66 / $223.40	Professional		$123.52	$124.66	$223.40