Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $173.78 / $318.75	Facility		$52.13	$173.78	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $49.65 / $49.65	Professional		$49.65	$49.65	$49.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $466.44 / $466.44	Facility		$466.44	$466.44	$466.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $71.00 / $71.00	Facility		$71.00	$71.00	$71.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $128.25 / $172.02	Professional		$117.50	$128.25	$172.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $71.00 / $466.44	Facility		$71.00	$71.00	$466.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $187.50 / $285.63	Professional		$118.75	$187.50	$285.63
United Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $106.56 / $161.15	Professional		$66.33	$106.56	$161.15