Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $120.23	Facility		$91.20	$102.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $100.00	Professional		$72.44	$81.28	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $75.86	Facility		$38.90	$54.95	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $147.91	Professional		$100.00	$141.25	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $120.23	Facility		$70.79	$120.23	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $162.18	Professional		$70.79	$120.23	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $75.86	Facility		$38.90	$56.23	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $186.21	Professional		$61.66	$61.66	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Professional		$151.36	$151.36	$169.82