Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $140.30 / $157.15	Facility		$140.30	$140.30	$157.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $57.26 / $102.43	Professional		$44.00	$57.26	$102.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $157.58 / $206.68	Professional		$55.51	$157.58	$206.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $62.58 / $143.40	Facility		$44.64	$62.58	$143.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $159.80 / $197.25	Professional		$91.88	$159.80	$197.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $121.80 / $182.00	Professional		$76.00	$121.80	$182.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $66.58 / $143.40	Facility		$46.86	$66.58	$143.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $127.28 / $212.80	Professional		$68.84	$127.28	$212.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $165.34 / $208.09	Professional		$147.79	$165.34	$208.09