Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $107.37 / $128.06	Facility		$107.37	$107.37	$128.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $49.65 / $87.80	Professional		$36.75	$49.65	$87.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $123.74 / $168.84	Professional		$91.79	$123.74	$168.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $87.80 / $146.59	Facility		$49.83	$87.80	$146.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $115.65 / $178.86	Professional		$93.00	$115.65	$178.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $155.25 / $228.15	Professional		$65.81	$155.25	$228.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $87.80 / $146.59	Facility		$46.02	$87.80	$146.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $116.12 / $216.00	Professional		$58.13	$116.12	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $135.08 / $270.16	Professional		$122.01	$135.08	$270.16