Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $512.86 / $512.86	Facility		$85.11	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $147.91	Professional		$79.43	$79.43	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $147.91	Facility		$79.43	$79.43	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $257.04	Professional		$79.43	$79.43	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $199.53	Facility		$79.43	$125.89	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $213.80	Facility		$147.91	$147.91	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $87.10	Professional		$60.26	$79.43	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $239.88	Professional		$89.13	$120.23	$239.88