Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $112.16 / $396.52	Facility		$112.16	$112.16	$396.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $113.29 / $292.16	Professional		$69.65	$113.29	$292.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $156.56 / $246.03	Facility		$156.56	$156.56	$246.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $162.00 / $369.04	Facility		$156.56	$162.00	$369.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $70.01 / $94.14	Professional		$46.67	$70.01	$94.14