Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $64.13 / $203.43	Facility		$51.31	$64.13	$203.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $73.37 / $172.80	Facility		$33.65	$73.37	$172.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $165.22	Professional		$51.31	$51.31	$165.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $115.45 / $115.45	Professional		$46.18	$115.45	$115.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $141.74	Facility		$73.37	$73.37	$141.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $141.10 / $141.10	Professional		$51.31	$141.10	$141.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $102.62 / $154.81	Professional		$51.31	$102.62	$154.81