Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $173.46 / $240.51	Facility		$81.05	$173.46	$240.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $91.36 / $169.77	Professional		$65.44	$91.36	$169.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $102.00 / $147.00	Professional		$89.00	$102.00	$147.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $133.96 / $260.31	Facility		$77.18	$133.96	$260.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $230.14 / $317.48	Professional		$136.62	$230.14	$317.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $186.40 / $394.20	Professional		$113.20	$186.40	$394.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $146.02 / $260.31	Facility		$78.42	$146.02	$260.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $157.91 / $351.00	Professional		$102.00	$157.91	$351.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $220.99 / $423.28	Professional		$98.95	$220.99	$423.28