Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $120.12 / $211.26	Facility		$120.12	$120.12	$211.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $172.76 / $172.76	Professional		$77.51	$172.76	$172.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $88.00 / $252.65	Professional		$63.02	$88.00	$252.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $172.76 / $241.86	Facility		$79.64	$172.76	$241.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $213.48 / $295.12	Professional		$177.90	$213.48	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $299.70 / $402.60	Professional		$161.79	$299.70	$402.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.64 / $172.76 / $241.86	Facility		$79.64	$172.76	$241.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $166.50 / $392.00	Professional		$88.44	$166.50	$392.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $219.70 / $439.40	Professional		$119.48	$219.70	$439.40