Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $67.61	Professional		$36.31	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $43.65	Facility		$36.31	$36.31	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $117.49	Professional		$36.31	$36.31	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $89.13	Facility		$36.31	$57.54	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $97.72	Facility		$67.61	$67.61	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $60.26	Professional		$36.31	$39.81	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $8,128.31	Professional		$36.31	$54.95	$8,128.31