Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.84 / $138.19 / $488.60	Facility		$92.84	$138.19	$488.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $120.19 / $201.35	Professional		$75.80	$120.19	$201.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $171.87	Facility		$171.87	$171.87	$171.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $208.08	Professional		$64.62	$64.62	$208.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $142.02 / $223.17	Facility		$93.79	$142.02	$223.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $171.87 / $334.75	Facility		$105.33	$171.87	$334.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $70.09	Professional		$64.62	$64.62	$70.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $96.93 / $130.35	Professional		$64.62	$96.93	$130.35