Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $112.54	Professional		$112.54	$112.54	$112.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Professional		$93.11	$93.11	$93.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $160.93	Facility		$46.45	$46.45	$160.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $237.60 / $426.00	Professional		$172.50	$237.60	$426.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $154.18 / $160.93	Facility		$112.54	$154.18	$160.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $319.50 / $506.94	Professional		$209.81	$319.50	$506.94
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $637.00 / $637.00	Facility		$637.00	$637.00	$637.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $228.43 / $459.38	Professional		$117.25	$228.43	$459.38