Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.49 / $141.49 / $143.01	Facility		$141.49	$141.49	$143.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $53.98 / $115.70	Professional		$42.99	$53.98	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $135.37 / $185.06	Professional		$118.17	$135.37	$185.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $115.70 / $177.02	Facility		$50.75	$115.70	$177.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $144.60 / $223.93	Professional		$120.50	$144.60	$223.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $191.52 / $272.67	Professional		$71.29	$191.52	$272.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $115.70 / $177.02	Facility		$49.16	$115.70	$177.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $132.21 / $272.73	Professional		$72.20	$132.21	$272.73
United Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $148.04 / $319.60	Professional		$134.02	$148.04	$319.60