Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $80.78 / $208.73	Facility		$68.41	$80.78	$208.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $45.14 / $76.02	Professional		$34.52	$45.14	$76.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $144.43 / $149.21	Professional		$117.19	$144.43	$149.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $108.71 / $108.71	Facility		$108.71	$108.71	$108.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $115.47 / $123.94	Professional		$58.90	$115.47	$123.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $119.00 / $306.25	Professional		$98.35	$119.00	$306.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $108.71 / $108.71	Facility		$108.71	$108.71	$108.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $118.11 / $233.10	Professional		$58.90	$118.11	$233.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $119.36 / $179.04	Professional		$52.53	$119.36	$179.04