Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $121.44 / $161.91	Facility		$61.11	$121.44	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $61.14 / $100.92	Professional		$40.97	$61.14	$100.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $141.61 / $239.99	Professional		$113.29	$141.61	$239.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $91.06 / $181.34	Facility		$60.76	$91.06	$181.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $182.43 / $205.63	Professional		$92.63	$182.43	$205.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $135.80 / $215.60	Professional		$90.00	$135.80	$215.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $98.70 / $154.74	Facility		$60.76	$98.70	$154.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $139.12 / $232.80	Professional		$85.05	$139.12	$232.80
United Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $106.08 / $192.00	Professional		$52.57	$106.08	$192.00