Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $85.57 / $127.69	Facility		$85.57	$85.57	$127.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $47.26 / $84.23	Professional		$28.68	$47.26	$84.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $106.03 / $165.98	Professional		$37.06	$106.03	$165.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $55.77 / $109.64	Facility		$29.25	$55.77	$109.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $108.87 / $162.96	Professional		$68.88	$108.87	$162.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $100.10 / $209.25	Professional		$47.09	$100.10	$209.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $63.63 / $120.08	Facility		$31.94	$63.63	$120.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $100.10 / $217.50	Professional		$45.50	$100.10	$217.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $132.78 / $167.11	Professional		$125.45	$132.78	$167.11