Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $232.45 / $821.80	Facility		$157.86	$232.45	$821.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $294.30	Professional		$127.45	$127.45	$294.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $339.00 / $339.00	Facility		$339.00	$339.00	$339.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $410.39	Professional		$127.45	$127.45	$410.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.02 / $289.58 / $455.07	Facility		$201.02	$289.58	$455.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.58 / $339.00 / $682.60	Facility		$201.58	$339.00	$682.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $138.28	Professional		$127.45	$127.45	$138.28
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $191.18 / $257.08	Professional		$127.45	$191.18	$257.08