Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.73 / $115.73 / $115.73	Facility		$115.73	$115.73	$115.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $81.68 / $183.06	Professional		$51.20	$81.68	$183.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $141.47 / $384.21	Professional		$82.45	$141.47	$384.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $114.35 / $216.34	Facility		$81.68	$114.35	$216.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $104.79 / $117.69	Professional		$78.59	$104.79	$117.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $118.80 / $232.18	Professional		$89.38	$118.80	$232.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $114.35 / $216.34	Facility		$81.68	$114.35	$216.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $136.25 / $281.20	Professional		$54.68	$136.25	$281.20
United Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $147.76 / $187.77	Professional		$62.61	$147.76	$187.77