Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.44 / $115.44 / $408.14	Facility		$115.44	$115.44	$408.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $116.61 / $188.49	Professional		$71.70	$116.61	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.75 / $166.75 / $166.75	Facility		$166.75	$166.75	$166.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $49.54 / $70.78	Professional		$49.54	$49.54	$70.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $115.72 / $181.85	Facility		$83.95	$115.72	$181.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $165.32 / $272.77	Facility		$86.22	$165.32	$272.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $70.78 / $73.42	Professional		$49.54	$70.78	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $107.97 / $145.19	Professional		$71.98	$107.97	$145.19