Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.06 / $202.06 / $222.09	Facility		$202.06	$202.06	$222.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $94.21 / $202.06	Professional		$76.20	$94.21	$202.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $95.00 / $181.94	Professional		$68.00	$95.00	$181.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $148.72 / $282.88	Facility		$85.55	$148.72	$282.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $260.07 / $318.72	Professional		$158.97	$260.07	$318.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $188.36 / $413.10	Professional		$124.65	$188.36	$413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $164.66 / $282.88	Facility		$85.55	$164.66	$282.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $179.54 / $376.50	Professional		$100.60	$179.54	$376.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $135.75 / $420.09	Professional		$74.98	$135.75	$420.09