Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.53 / $94.65 / $334.64	Facility		$82.53	$94.65	$334.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $146.78	Professional		$78.92	$78.92	$146.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.90 / $209.90 / $209.90	Facility		$209.90	$209.90	$209.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $254.12	Professional		$78.92	$78.92	$254.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $170.80 / $268.39	Facility		$84.38	$170.80	$268.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $209.90 / $402.60	Facility		$83.98	$209.90	$402.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $85.62	Professional		$78.92	$78.92	$85.62
United Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $118.38 / $236.76	Professional		$87.85	$118.38	$236.76