Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $97.73 / $345.52	Facility		$97.73	$97.73	$345.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $98.72 / $182.00	Professional		$53.61	$98.72	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $141.16 / $141.16	Facility		$141.16	$141.16	$141.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $170.92	Professional		$53.08	$53.08	$170.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $78.22 / $122.91	Facility		$78.22	$78.22	$122.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $111.74 / $184.37	Facility		$78.22	$111.74	$184.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $57.58	Professional		$47.49	$47.49	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $79.62 / $107.07	Professional		$53.08	$79.62	$107.07