Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.54 / $139.54 / $167.11	Facility		$139.54	$139.54	$167.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $44.90 / $98.48	Professional		$32.18	$44.90	$98.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $106.41 / $136.97	Professional		$55.32	$106.41	$136.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $57.23 / $137.87	Facility		$34.09	$57.23	$137.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $160.88 / $196.59	Professional		$90.07	$160.88	$196.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $90.00 / $154.56	Professional		$48.00	$90.00	$154.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $61.64 / $137.87	Facility		$34.65	$61.64	$137.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $86.45 / $156.00	Professional		$46.00	$86.45	$156.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $111.34 / $158.94	Professional		$109.58	$111.34	$158.94