Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $80.23 / $283.68	Facility		$80.23	$80.23	$283.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $75.18 / $75.18	Professional		$49.83	$75.18	$75.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.51 / $107.51 / $107.51	Facility		$107.51	$107.51	$107.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $11.40	Professional		$7.98	$7.98	$11.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $84.56 / $132.88	Facility		$84.56	$84.56	$132.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $107.51 / $199.32	Facility		$84.56	$107.51	$199.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $11.40 / $47.34	Professional		$7.98	$11.40	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $69.62 / $93.62	Professional		$46.41	$69.62	$93.62