Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $278.06 / $475.55	Facility		$81.93	$278.06	$475.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $80.52 / $159.07	Professional		$73.20	$80.52	$159.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $84.25	Professional		$73.20	$73.20	$84.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $136.15 / $194.69	Facility		$73.93	$136.15	$194.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $146.40	Professional		$73.20	$73.20	$146.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.48 / $133.88 / $210.39	Facility		$110.48	$133.88	$210.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $114.76 / $114.76	Professional		$95.63	$114.76	$114.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.47 / $136.15 / $194.69	Facility		$80.47	$136.15	$194.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $89.77 / $114.76	Professional		$73.20	$89.77	$114.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $109.80 / $219.60	Professional		$77.59	$109.80	$219.60