Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $105.76 / $373.91	Facility		$56.85	$105.76	$373.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $104.35 / $133.88	Professional		$58.01	$104.35	$133.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Facility		$149.22	$149.22	$149.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $180.64	Professional		$56.10	$56.10	$180.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $94.04 / $147.77	Facility		$78.51	$94.04	$147.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $134.34 / $221.66	Facility		$79.34	$134.34	$221.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $60.87	Professional		$56.10	$56.10	$60.87
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $84.15 / $113.16	Professional		$56.10	$84.15	$113.16