Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $151.69 / $202.25	Facility		$76.98	$151.69	$202.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $75.42 / $137.53	Professional		$52.30	$75.42	$137.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $84.00 / $130.00	Professional		$63.00	$84.00	$130.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $109.72 / $226.52	Facility		$68.48	$109.72	$226.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $191.16 / $253.05	Professional		$119.09	$191.16	$253.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $155.44 / $320.62	Professional		$99.45	$155.44	$320.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $130.77 / $226.52	Facility		$69.23	$130.77	$226.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $132.60 / $324.80	Professional		$84.00	$132.60	$324.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $175.27 / $357.60	Professional		$75.91	$175.27	$357.60