Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.54 / $117.54 / $118.30	Facility		$117.54	$117.54	$118.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.86 / $96.11	Professional		$35.52	$44.86	$96.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.87 / $153.97	Professional		$97.72	$112.87	$153.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $96.11 / $147.05	Facility		$42.00	$96.11	$147.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $124.20 / $190.72	Professional		$103.50	$124.20	$190.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $160.02 / $228.46	Professional		$59.41	$160.02	$228.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $96.11 / $147.05	Facility		$41.67	$96.11	$147.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $109.98 / $228.46	Professional		$59.85	$109.98	$228.46
United Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $123.18 / $246.36	Professional		$110.82	$123.18	$246.36