Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $93.56 / $110.08	Facility		$82.55	$93.56	$110.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $74.84 / $110.03	Professional		$66.04	$74.84	$110.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $187.74 / $187.74	Professional		$187.74	$187.74	$187.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $54.97 / $73.36	Facility		$36.90	$54.97	$73.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $131.01 / $141.93	Professional		$111.66	$131.01	$141.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $110.70	Facility		$71.56	$71.56	$110.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $142.19 / $168.75	Professional		$71.56	$142.19	$168.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $56.54 / $73.36	Facility		$36.90	$56.54	$73.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $146.30 / $187.74	Professional		$71.56	$146.30	$187.74
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.97 / $168.98	Professional		$150.19	$150.97	$168.98