Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $831.76	Facility		$79.43	$316.23	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $79.43 / $112.20	Professional		$28.18	$79.43	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $87.10 / $208.93	Professional		$35.48	$87.10	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.20 / $190.55	Facility		$33.11	$91.20	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $194.98 / $363.08	Professional		$69.18	$194.98	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $398.11	Professional		$85.11	$169.82	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $190.55	Facility		$34.67	$93.33	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $223.87	Professional		$38.90	$87.10	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $85.11 / $251.19	Professional		$28.84	$85.11	$251.19