Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $85.77 / $303.24	Facility		$85.77	$85.77	$303.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $86.64 / $86.64	Professional		$53.27	$86.64	$86.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.90 / $123.90 / $123.90	Facility		$123.90	$123.90	$123.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $50.21 / $71.73	Professional		$50.21	$50.21	$71.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $141.19	Facility		$89.85	$89.85	$141.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $123.90 / $211.79	Facility		$89.85	$123.90	$211.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $54.55 / $71.73	Professional		$50.21	$54.55	$71.73
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $84.63 / $113.81	Professional		$56.42	$84.63	$113.81