Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $202.96 / $202.96	Facility		$202.96	$202.96	$202.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $143.25 / $721.92	Professional		$69.93	$143.25	$721.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $206.50 / $537.29	Professional		$114.71	$206.50	$537.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.25 / $200.55 / $302.56	Facility		$143.25	$200.55	$302.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $207.66 / $224.97	Professional		$98.99	$207.66	$224.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $214.00 / $380.92	Professional		$160.69	$214.00	$380.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.25 / $200.55 / $302.56	Facility		$143.25	$200.55	$302.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $200.45 / $393.76	Professional		$70.48	$200.45	$393.76
United Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $208.66 / $314.79	Professional		$72.86	$208.66	$314.79