Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.76 / $199.28 / $293.02	Facility		$133.76	$199.28	$293.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $116.98 / $376.20	Professional		$68.55	$116.98	$376.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $191.66 / $511.29	Professional		$112.55	$191.66	$511.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $218.37 / $452.34	Facility		$155.97	$218.37	$452.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $234.84 / $254.41	Professional		$97.85	$234.84	$254.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $242.00 / $368.46	Professional		$163.92	$242.00	$368.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $218.37 / $452.34	Facility		$155.97	$218.37	$452.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $191.66 / $380.88	Professional		$72.90	$191.66	$380.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $199.12 / $249.89	Professional		$90.20	$199.12	$249.89