Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $178.75 / $631.96	Facility		$51.64	$178.75	$631.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $111.61 / $226.30	Professional		$98.04	$111.61	$226.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $159.60 / $159.60	Facility		$159.60	$159.60	$159.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $193.20	Professional		$60.00	$60.00	$193.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $141.47 / $222.31	Facility		$61.94	$141.47	$222.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $159.60 / $333.47	Facility		$71.12	$159.60	$333.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $65.09	Professional		$60.00	$60.00	$65.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.00 / $121.03	Professional		$60.00	$90.00	$121.03