Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $111.83 / $114.13	Facility		$111.83	$111.83	$114.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $41.88 / $78.92	Professional		$33.50	$41.88	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $115.00 / $150.04	Professional		$44.07	$115.00	$150.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $46.77 / $110.49	Facility		$31.90	$46.77	$110.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $117.42 / $145.16	Professional		$57.48	$117.42	$145.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $93.48 / $123.15	Professional		$54.00	$93.48	$123.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $51.15 / $110.49	Facility		$36.14	$51.15	$110.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $95.20 / $151.25	Professional		$53.10	$95.20	$151.25
United Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $120.04 / $151.07	Professional		$103.95	$120.04	$151.07