Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $85.17 / $262.89	Facility		$74.36	$85.17	$262.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $73.37 / $143.55	Professional		$40.79	$73.37	$143.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.92 / $104.92 / $104.92	Facility		$104.92	$104.92	$104.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $127.03	Professional		$39.45	$39.45	$127.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $137.72 / $216.44	Facility		$91.26	$137.72	$216.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $137.72 / $324.64	Facility		$96.29	$137.72	$324.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $42.79	Professional		$39.45	$39.45	$42.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $59.18 / $79.58	Professional		$39.45	$59.18	$79.58