Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $148.69 / $525.70	Facility		$83.95	$148.69	$525.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $150.49 / $188.25	Professional		$81.56	$150.49	$188.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $215.20 / $215.20	Facility		$215.20	$215.20	$215.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $260.52	Professional		$80.91	$80.91	$260.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $124.63 / $195.84	Facility		$117.52	$124.63	$195.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $178.04 / $293.77	Facility		$117.14	$178.04	$293.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $87.78	Professional		$80.91	$80.91	$87.78
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $121.37 / $163.21	Professional		$80.91	$121.37	$163.21