Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $147.47	Facility		$110.72	$110.72	$147.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $72.14 / $113.06	Professional		$37.61	$72.14	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $143.90 / $238.01	Professional		$106.20	$143.90	$238.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $102.78 / $168.84	Facility		$54.44	$102.78	$168.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $137.47 / $207.54	Professional		$95.43	$137.47	$207.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $160.65 / $266.39	Professional		$77.69	$160.65	$266.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $102.78 / $168.84	Facility		$54.44	$102.78	$168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $133.60 / $264.00	Professional		$70.70	$133.60	$264.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $149.82 / $299.64	Professional		$144.34	$149.82	$299.64