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 $44.67 / $52.48 / $77.62	Professional		$44.67	$52.48	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $173.78	Professional		$112.20	$128.82	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $158.49	Facility		$47.86	$67.61	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $128.82 / $251.19	Professional		$51.29	$128.82	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $251.19	Professional		$97.72	$194.98	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $151.36	Facility		$46.77	$64.57	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $162.18	Professional		$57.54	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $302.00	Professional		$75.86	$141.25	$302.00