Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $184.72	Facility		$138.76	$138.76	$184.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $47.24 / $114.43	Professional		$28.04	$47.24	$114.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $89.63 / $141.08	Professional		$54.49	$89.63	$141.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $63.66 / $140.05	Facility		$32.43	$63.66	$140.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $175.04 / $229.19	Professional		$90.07	$175.04	$229.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $98.25 / $180.18	Professional		$49.58	$98.25	$180.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $68.22 / $149.93	Facility		$41.30	$68.22	$149.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $91.70 / $183.29	Professional		$48.84	$91.70	$183.29
United Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $118.26 / $169.29	Professional		$112.86	$118.26	$169.29