Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.66 / $150.90 / $264.60	Facility		$126.66	$150.90	$264.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $71.11 / $142.02	Professional		$54.32	$71.11	$142.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $181.32 / $233.38	Professional		$176.40	$181.32	$233.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $203.09 / $203.09	Facility		$203.09	$203.09	$203.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $215.43 / $231.23	Professional		$92.15	$215.43	$231.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $222.00 / $312.50	Professional		$182.04	$222.00	$312.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.09 / $203.09 / $203.09	Facility		$203.09	$203.09	$203.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $185.25 / $321.44	Professional		$92.15	$185.25	$321.44
United Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $186.70 / $280.05	Professional		$80.65	$186.70	$280.05