Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $113.98 / $113.98	Facility		$113.98	$113.98	$113.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $80.45 / $242.52	Professional		$30.39	$80.45	$242.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $112.62 / $301.82	Professional		$63.92	$112.62	$301.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $112.63 / $169.97	Facility		$80.45	$112.63	$169.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $115.47 / $125.09	Professional		$55.91	$115.47	$125.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $119.00 / $211.82	Professional		$95.29	$119.00	$211.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $112.63 / $169.97	Facility		$80.45	$112.63	$169.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $113.05 / $218.96	Professional		$39.57	$113.05	$218.96
United Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $116.60 / $176.84	Professional		$40.33	$116.60	$176.84