Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $954.99	Facility		$154.88	$302.00	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $61.66 / $173.78	Professional		$21.88	$61.66	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $75.86 / $147.91	Professional		$27.54	$75.86	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $302.00	Facility		$33.11	$81.28	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $199.53	Professional		$54.95	$95.50	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $316.23	Professional		$89.13	$128.82	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $57.54 / $169.82	Facility		$25.70	$57.54	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $70.79 / $186.21	Professional		$33.88	$70.79	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $275.42	Professional		$61.66	$114.82	$275.42