Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $100.24 / $354.38	Facility		$100.24	$100.24	$354.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $101.25 / $101.25	Professional		$62.25	$101.25	$101.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.79 / $144.79 / $144.79	Facility		$144.79	$144.79	$144.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $1,596.00 / $2,280.00	Professional		$1,596.00	$1,596.00	$2,280.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $151.80	Facility		$96.60	$96.60	$151.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $138.00 / $227.70	Facility		$96.60	$138.00	$227.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $2,280.00	Professional		$63.75	$63.75	$2,280.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $93.75 / $126.08	Professional		$62.50	$93.75	$126.08