Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $602.10 / $819.84	Facility		$76.86	$602.10	$819.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $44.04 / $108.57	Professional		$30.03	$44.04	$108.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $90.33 / $167.13	Professional		$47.96	$90.33	$167.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.85 / $89.88 / $152.00	Facility		$62.85	$89.88	$152.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $79.00 / $155.00	Professional		$63.88	$79.00	$155.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $110.44 / $219.00	Professional		$56.00	$110.44	$219.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.85 / $89.88 / $152.00	Facility		$62.85	$89.88	$152.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $94.80 / $192.40	Professional		$47.96	$94.80	$192.40
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $133.69 / $134.97	Professional		$52.69	$133.69	$134.97