Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $102.17 / $361.20	Facility		$62.17	$102.17	$361.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $101.76 / $164.56	Professional		$56.04	$101.76	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.52 / $145.52 / $145.52	Facility		$145.52	$145.52	$145.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $176.17	Professional		$54.71	$54.71	$176.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.45 / $100.94 / $158.62	Facility		$84.45	$100.94	$158.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $144.19 / $237.93	Facility		$83.74	$144.19	$237.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $59.35	Professional		$54.71	$54.71	$59.35
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $82.07 / $110.36	Professional		$54.71	$82.07	$110.36