Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $78.37 / $355.46	Facility		$62.70	$78.37	$355.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $100.14 / $110.15	Professional		$62.70	$100.14	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $89.66 / $89.66	Facility		$89.66	$89.66	$89.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $95.20 / $95.20	Professional		$37.24	$95.20	$95.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.76 / $154.76 / $243.19	Facility		$154.76	$154.76	$243.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $62.70 / $118.75	Professional		$62.70	$62.70	$118.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $154.76 / $364.78	Facility		$89.66	$154.76	$364.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $61.20 / $118.75	Professional		$37.24	$61.20	$118.75
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $115.46	Professional		$96.60	$96.60	$115.46