Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $257.04	Professional		$91.20	$112.20	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $218.78	Professional		$95.50	$109.65	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $223.87	Facility		$87.10	$117.49	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $436.52	Professional		$125.89	$275.42	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $389.05 / $3,467.37	Facility		$128.82	$389.05	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $436.52	Professional		$162.18	$302.00	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $223.87	Facility		$83.18	$114.82	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $234.42	Professional		$60.26	$123.03	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $281.84 / $512.86	Professional		$100.00	$281.84	$512.86