Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $98.31 / $98.31	Facility		$98.31	$98.31	$98.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $35.89 / $69.39	Professional		$29.65	$35.89	$69.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $98.85 / $129.26	Professional		$38.79	$98.85	$129.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $39.83 / $97.15	Facility		$27.76	$39.83	$97.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $100.92 / $125.10	Professional		$49.40	$100.92	$125.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $81.80 / $109.20	Professional		$47.25	$81.80	$109.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $43.65 / $97.15	Facility		$31.88	$43.65	$97.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $81.80 / $130.00	Professional		$42.13	$81.80	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $103.42 / $130.16	Professional		$89.35	$103.42	$130.16