Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $139.69 / $493.89	Facility		$71.50	$139.69	$493.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $141.10 / $176.85	Professional		$76.62	$141.10	$176.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.77 / $201.77 / $201.77	Facility		$201.77	$201.77	$201.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $244.27	Professional		$75.86	$75.86	$244.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $136.69 / $214.81	Facility		$109.36	$136.69	$214.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.29 / $184.22 / $303.95	Facility		$102.29	$184.22	$303.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $82.31	Professional		$75.86	$75.86	$82.31
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $113.79 / $153.02	Professional		$75.86	$113.79	$153.02