Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $204.27 / $347.06	Facility		$122.96	$204.27	$347.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $99.16 / $99.16	Professional		$99.16	$99.16	$99.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $81.77 / $81.77	Facility		$81.77	$81.77	$81.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Facility		$141.80	$141.80	$141.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $95.31	Professional		$29.60	$29.60	$95.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.60 / $109.52 / $118.40	Facility		$103.60	$109.52	$118.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $66.59 / $66.59	Professional		$26.64	$66.59	$66.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.77 / $109.52 / $141.80	Facility		$81.77	$109.52	$141.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $81.40 / $81.40	Professional		$29.60	$81.40	$81.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $59.20 / $89.31	Professional		$32.89	$59.20	$89.31