Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $274.47 / $952.74	Facility		$67.68	$274.47	$952.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $85.06 / $122.98	Professional		$24.83	$85.06	$122.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $64.81 / $125.31	Professional		$25.95	$64.81	$125.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $77.48 / $172.17	Facility		$28.02	$77.48	$172.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $100.70 / $188.18	Professional		$57.43	$100.70	$188.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $129.93 / $330.00	Professional		$88.75	$129.93	$330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $71.86 / $172.17	Facility		$31.13	$71.86	$172.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $117.25 / $340.20	Professional		$46.90	$117.25	$340.20
United Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $181.60 / $317.80	Professional		$115.67	$181.60	$317.80