Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $72.44	Professional		$34.67	$41.69	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $141.25	Professional		$89.13	$102.33	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $131.83	Facility		$37.15	$54.95	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $102.33 / $186.21	Professional		$40.74	$102.33	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $199.53	Professional		$77.62	$154.88	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $120.23	Facility		$37.15	$50.12	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $128.82	Professional		$44.67	$95.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $239.88	Professional		$60.26	$112.20	$239.88