Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $84.70 / $299.45	Facility		$84.70	$84.70	$299.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $85.56 / $88.90	Professional		$52.61	$85.56	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.35 / $122.35 / $122.35	Facility		$122.35	$122.35	$122.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $63.65	Professional		$44.56	$44.56	$63.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $88.75 / $139.46	Facility		$88.75	$88.75	$139.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.75 / $122.35 / $209.19	Facility		$88.75	$122.35	$209.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $53.87 / $63.65	Professional		$44.56	$53.87	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $79.23 / $106.55	Professional		$52.82	$79.23	$106.55