Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $241.54 / $410.38	Facility		$51.80	$241.54	$410.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $117.25 / $225.05	Professional		$117.25	$117.25	$225.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $96.69 / $96.69	Facility		$96.69	$96.69	$96.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.67 / $167.67 / $167.67	Facility		$167.67	$167.67	$167.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $112.70	Professional		$35.00	$35.00	$112.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $129.50 / $140.00	Facility		$122.50	$129.50	$140.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $78.75 / $78.75	Professional		$31.50	$78.75	$78.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $129.50 / $167.67	Facility		$96.69	$129.50	$167.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $96.25 / $96.25	Professional		$31.50	$96.25	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $70.00 / $105.60	Professional		$35.00	$70.00	$105.60