Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $90.63 / $120.84	Facility		$87.00	$90.63	$120.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $82.17 / $281.26	Professional		$37.32	$82.17	$281.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $104.99 / $279.51	Professional		$60.01	$104.99	$279.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $135.34 / $280.33	Facility		$96.67	$135.34	$280.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $141.69 / $153.50	Professional		$51.33	$141.69	$153.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $138.75 / $195.80	Professional		$88.83	$138.75	$195.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $135.34 / $280.33	Facility		$96.67	$135.34	$280.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $105.45 / $202.40	Professional		$39.26	$105.45	$202.40
United Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $108.54 / $136.60	Professional		$49.34	$108.54	$136.60