Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $115.03 / $406.67	Facility		$63.28	$115.03	$406.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $118.45 / $145.63	Professional		$63.09	$118.45	$145.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.38 / $169.38 / $169.38	Facility		$169.38	$169.38	$169.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $205.05	Professional		$63.68	$63.68	$205.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $179.47 / $282.02	Facility		$85.68	$179.47	$282.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $179.47 / $423.03	Facility		$82.37	$179.47	$423.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $69.09	Professional		$63.68	$63.68	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $95.52 / $191.04	Professional		$71.31	$95.52	$191.04