Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $144.41 / $510.58	Facility		$90.39	$144.41	$510.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $87.69 / $182.84	Professional		$79.22	$87.69	$182.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.95 / $209.95 / $209.95	Facility		$209.95	$209.95	$209.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $254.15	Professional		$78.93	$78.93	$254.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.46 / $134.40 / $211.20	Facility		$121.46	$134.40	$211.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.49 / $192.00 / $316.80	Facility		$121.49	$192.00	$316.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $85.64	Professional		$78.93	$78.93	$85.64
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $118.40 / $159.22	Professional		$78.93	$118.40	$159.22