Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $263.03 / $446.68	Facility		$53.70	$263.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $123.03	Professional		$28.84	$34.67	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $165.96	Facility		$36.31	$36.31	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $117.49	Professional		$36.31	$36.31	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $134.90 / $147.91	Facility		$36.31	$134.90	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $100.00 / $173.78	Facility		$29.51	$100.00	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $72.44 / $109.65	Professional		$21.88	$72.44	$109.65