Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $489.78 / $489.78	Facility		$75.86	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $141.25	Professional		$75.86	$75.86	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $245.47	Professional		$75.86	$75.86	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $144.54 / $223.87	Facility		$75.86	$144.54	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Facility		$141.25	$141.25	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $83.18	Professional		$60.26	$75.86	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $2,454.71	Professional		$75.86	$114.82	$2,454.71