Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $147.21 / $270.02	Facility		$44.16	$147.21	$270.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $42.06 / $42.06	Professional		$42.06	$42.06	$42.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.27 / $1,060.27 / $1,060.27	Facility		$1,060.27	$1,060.27	$1,060.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $141.16 / $169.39	Facility		$31.36	$141.16	$169.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $125.55 / $202.50	Professional		$102.06	$125.55	$202.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $141.16 / $1,060.27	Facility		$42.06	$141.16	$1,060.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $121.50 / $192.78	Professional		$101.25	$121.50	$192.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $71.54 / $161.60	Professional		$43.21	$71.54	$161.60