Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $630.96 / $724.44	Facility		$134.90	$630.96	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $83.18	Professional		$28.84	$53.70	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $165.96	Professional		$67.61	$95.50	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $63.10 / $724.44	Facility		$22.39	$63.10	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $151.36	Professional		$51.29	$97.72	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $218.78	Professional		$43.65	$87.10	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $48.98 / $109.65	Facility		$22.39	$48.98	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $151.36	Professional		$26.30	$60.26	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $134.90	Professional		$47.86	$81.28	$134.90