Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.91 / $84.91 / $300.20	Facility		$84.91	$84.91	$300.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $85.77 / $105.80	Professional		$52.73	$85.77	$105.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.65 / $122.65 / $122.65	Facility		$122.65	$122.65	$122.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $31.59 / $45.13	Professional		$31.59	$31.59	$45.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $88.94 / $139.77	Facility		$88.94	$88.94	$139.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $122.65 / $209.65	Facility		$88.94	$122.65	$209.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $79.41 / $158.82	Professional		$59.29	$79.41	$158.82