Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.54 / $139.54 / $160.97	Facility		$139.54	$139.54	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $56.57 / $98.48	Professional		$43.72	$56.57	$98.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $159.81 / $209.71	Professional		$54.17	$159.81	$209.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $61.70 / $137.87	Facility		$44.86	$61.70	$137.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $155.58 / $193.05	Professional		$90.68	$155.58	$193.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $123.00 / $181.17	Professional		$75.50	$123.00	$181.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $67.84 / $137.87	Facility		$46.86	$67.84	$137.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $130.97 / $212.40	Professional		$67.95	$130.97	$212.40
United Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $167.76 / $211.13	Professional		$152.08	$167.76	$211.13