Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.46 / $90.46 / $319.80	Facility		$90.46	$90.46	$319.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $91.37 / $91.37	Professional		$56.17	$91.37	$91.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Facility		$130.66	$130.66	$130.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.75 / $94.75 / $148.90	Facility		$94.75	$94.75	$148.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.75 / $130.66 / $223.34	Facility		$94.75	$130.66	$223.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $84.60 / $113.77	Professional		$56.40	$84.60	$113.77