Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $173.46 / $231.29	Facility		$82.37	$173.46	$231.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $83.48 / $157.28	Professional		$59.75	$83.48	$157.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $91.00 / $130.18	Professional		$78.00	$91.00	$130.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $125.11 / $259.04	Facility		$77.76	$125.11	$259.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $217.38 / $265.51	Professional		$119.23	$217.38	$265.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $172.92 / $355.50	Professional		$106.20	$172.92	$355.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $147.01 / $259.04	Facility		$77.76	$147.01	$259.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $146.69 / $351.40	Professional		$91.00	$146.69	$351.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $192.28 / $393.56	Professional		$75.00	$192.28	$393.56