Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $135.13 / $477.75	Facility		$84.10	$135.13	$477.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $133.03 / $209.10	Professional		$74.12	$133.03	$209.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.23 / $190.23 / $190.23	Facility		$190.23	$190.23	$190.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $230.29	Professional		$71.52	$71.52	$230.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.22 / $159.60 / $250.80	Facility		$110.22	$159.60	$250.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.94 / $190.23 / $376.20	Facility		$113.94	$190.23	$376.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $77.59	Professional		$71.52	$71.52	$77.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $107.28 / $144.27	Professional		$71.52	$107.28	$144.27