Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $134.72 / $476.32	Facility		$75.20	$134.72	$476.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $84.32 / $141.18	Professional		$75.90	$84.32	$141.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $201.89 / $201.89	Facility		$201.89	$201.89	$201.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $244.43	Professional		$75.91	$75.91	$244.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $127.71 / $200.68	Facility		$106.99	$127.71	$200.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $175.58 / $289.70	Facility		$103.68	$175.58	$289.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $82.35	Professional		$75.91	$75.91	$82.35
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $113.87 / $153.13	Professional		$75.91	$113.87	$153.13