Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $107.15	Professional		$66.07	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $380.19	Facility		$107.15	$154.88	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $112.20	Professional		$60.26	$66.07	$112.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $112.20 / $173.78	Facility		$66.07	$112.20	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $154.88	Facility		$107.15	$107.15	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $323.59	Professional		$60.26	$77.62	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $316.23 / $1,380.38	Professional		$66.07	$316.23	$1,380.38