Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Facility		$245.47	$245.47	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $87.10	Professional		$42.66	$52.48	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $245.47 / $251.19	Facility		$70.79	$245.47	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $87.10	Professional		$42.66	$60.26	$87.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $102.33	Facility		$70.79	$70.79	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $66.07	Professional		$44.67	$45.71	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $141.25	Professional		$50.12	$75.86	$141.25