Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.86 / $137.86 / $487.38	Facility		$137.86	$137.86	$487.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $84.40 / $174.52	Professional		$75.61	$84.40	$174.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.07 / $202.07 / $202.07	Facility		$202.07	$202.07	$202.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $244.62	Professional		$75.97	$75.97	$244.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $116.54 / $183.13	Facility		$116.54	$116.54	$183.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.07 / $233.06 / $549.35	Facility		$202.07	$233.06	$549.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $82.42	Professional		$75.97	$75.97	$82.42
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $113.96 / $153.25	Professional		$75.97	$113.96	$153.25