Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.29 / $162.29 / $573.76	Facility		$162.29	$162.29	$573.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $163.93 / $163.93	Professional		$100.79	$163.93	$163.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $20.43	Professional		$14.30	$14.30	$20.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $165.84 / $260.61	Facility		$165.84	$165.84	$260.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $234.42 / $390.92	Facility		$165.84	$234.42	$390.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.30 / $20.43	Professional		$11.82	$14.30	$20.43
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $151.79 / $204.12	Professional		$42.00	$151.79	$204.12